DEPARTMENT OF INSURANCE

Affiliations

Name	Jennings, David M	DOIID	517308	NAIC NPN	2089193

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	11/17/2015	11/30/2018
Inactive	Non Resident	Agent	Health	11/20/2000	11/30/2006
Inactive	Non Resident	Agent	Life	11/20/2000	11/30/2006
Inactive	Non Resident	Agent	Property	11/17/2015	11/30/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American States Life Insurance Company	301884	Agent - Health	1/16/2001	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	1/16/2001	12/6/2004
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	11/20/2000	11/30/2006
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	11/20/2000	11/30/2006
Inactive	Augustar Life Insurance Company	301816	Agent - Health	11/20/2000	11/30/2006
Inactive	Augustar Life Insurance Company	301816	Agent - Life	11/20/2000	11/30/2006
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Casualty	11/25/2015	7/11/2018
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Property	11/25/2015	7/11/2018
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	2/19/2001	9/24/2001
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/19/2001	9/24/2001
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/22/2001	7/14/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/22/2001	7/14/2004
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	1/10/2001	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	1/10/2001	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/10/2001	11/30/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/10/2001	11/30/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	10/31/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	10/31/2004
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	1/22/2001	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	1/22/2001	10/1/2003
Inactive	Symetra Life Insurance Company	301691	Agent - Health	1/16/2001	12/28/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Life	1/16/2001	12/28/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/10/2001	11/30/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/10/2001	11/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carson Insurance Agency, Inc. [The]	517739	Agent - Life	2/19/2001	2/7/2003
Inactive	Carson Insurance Agency, Inc. [The]	517739	Agent - Health	2/19/2001	2/7/2003