DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Alpha Insurance Agency, LLC	DOIID	533027	NAIC NPN	7223347

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/18/2003	3/31/2007
Inactive	Resident	Agent	Life	6/18/2003	3/31/2007
* 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 Heritage Life Insurance Company	300272	Agent - Health	6/18/2003	3/31/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/18/2003	3/31/2007
Inactive	Companion Life Insurance Company	300191	Agent - Health	4/1/2004	1/18/2007
Inactive	Companion Life Insurance Company	300191	Agent - Life	4/1/2004	1/18/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/18/2003	8/29/2003
Inactive	Humana Insurance Company	301104	Agent - Health	6/18/2003	8/29/2003
Inactive	Humana Insurance Company	301104	Agent - Life	6/18/2003	8/29/2003
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	6/18/2003	3/23/2006
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	6/18/2003	3/23/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/18/2003	11/29/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/18/2003	11/29/2005
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	10/1/2004	11/13/2006
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/1/2004	11/13/2006
Inactive	Southland Life Insurance Company	301175	Agent - Health	6/18/2003	10/1/2004
Inactive	Southland Life Insurance Company	301175	Agent - Life	6/18/2003	10/1/2004
Inactive	Texas Life Insurance Company	300345	Agent - Life	6/18/2003	3/31/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/18/2003	11/17/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/18/2003	11/17/2005
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/18/2003	7/15/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Borth, Myron James	578423	Agent - Health	1/18/2005	11/30/2006
Inactive	Borth, Myron James	578423	Agent - Life	1/18/2005	11/30/2006
Inactive	Brown, Gregory A	561989	Agent - Health	1/5/2004	3/31/2007
Inactive	Brown, Gregory A	561989	Agent - Life	1/5/2004	3/31/2007
Inactive	Parnell, Barry Delman	537081	Agent - Health	1/5/2004	1/18/2005
Inactive	Parnell, Barry Delman	537081	Agent - Life	1/5/2004	1/18/2005
Inactive	Parnell, Christopher James	563440	Agent - Health	1/5/2004	7/1/2004
Inactive	Parnell, Christopher James	563440	Agent - Life	1/5/2004	7/1/2004
Inactive	Rodgers, Debra	386354	Agent - Health	6/18/2003	3/31/2007
Inactive	Rodgers, Debra	386354	Agent - Life	6/18/2003	3/31/2007