DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Performax Inc	DOIID	524975	NAIC NPN	3336253

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Administrator	Not Applicable
Inactive	Non Resident	Agent	Life	5/18/2010	9/10/2014
Inactive	Non Resident	Agent	Health	5/18/2010	9/10/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Losel, Jenni	576159	Administrator - Not Applicable
Inactive	Losel, Jenni	576159	Agent - Health	5/18/2010	9/10/2014
Inactive	Losel, Jenni	576159	Agent - Life	5/18/2010	9/10/2014
Inactive	Nicholas, Louis Joseph	525197	Administrator - Not Applicable	7/19/2001	10/31/2003
Inactive	Rogers, Brian Michael	525200	Administrator - Not Applicable	7/19/2001	7/31/2004
Inactive	Sullivan, Keith Bryant	525198	Administrator - Not Applicable	7/19/2001	5/23/2008