DEPARTMENT OF INSURANCE

Affiliations

Name	CBIZ Gebcorp Insurance, Inc.	DOIID	534036	NAIC NPN	3007553

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/16/2001	3/31/2009
Inactive	Non Resident	Agent	Health	7/16/2001	6/28/2007
* 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	Acacia Life Insurance Company	300375	Agent - Health	4/12/2004	6/28/2007
Inactive	Acacia Life Insurance Company	300375	Agent - Life	4/12/2004	6/13/2008
Inactive	Beneficial Life Insurance Company	301688	Agent - Life	7/31/2001	3/31/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/5/2002	6/28/2007
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/5/2002	3/31/2009
Inactive	General American Life Insurance Company	300280	Agent - Health	10/22/2003	6/28/2007
Inactive	General American Life Insurance Company	300280	Agent - Life	10/22/2003	3/31/2009
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	11/2/2001	6/28/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	11/2/2001	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	7/16/2001	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/16/2001	4/2/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/30/2003	3/3/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/30/2003	3/3/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	4/30/2003	3/3/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/28/2001	9/24/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	5/19/2004	6/28/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	5/19/2004	3/31/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2007	6/28/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2007	3/31/2009
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	3/5/2002	6/28/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	3/5/2002	3/31/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/6/2001	3/31/2009
Inactive	New York Life Insurance Company	300431	Agent - Health	10/12/2001	3/20/2007
Inactive	New York Life Insurance Company	300431	Agent - Life	10/12/2001	3/20/2007
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	10/12/2001	6/28/2007
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	10/12/2001	3/17/2008
Inactive	Pacific Life Insurance Company	301848	Agent - Health	10/1/2001	5/2/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Life	10/1/2001	5/2/2006
Inactive	Southland Life Insurance Company	301175	Agent - Health	3/20/2002	9/17/2004
Inactive	Southland Life Insurance Company	301175	Agent - Life	3/20/2002	9/17/2004
Inactive	Transamerica Assurance Company	300893	Agent - Health	2/25/2002	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	2/25/2002	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/14/2004	6/28/2007
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/14/2004	9/24/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	1/27/2003	9/24/2008
Inactive	Union Central Life Insurance Company	300307	Agent - Health	11/13/2001	4/3/2003
Inactive	Union Central Life Insurance Company	300307	Agent - Life	11/13/2001	4/3/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jorgenson, James Axel	603428	Agent - Life	1/10/2006	1/14/2008
Inactive	Keenum, Rebecca Bridges	525785	Agent - Health	2/20/2004	9/25/2006
Inactive	Keenum, Rebecca Bridges	525785	Agent - Life	2/20/2004	9/25/2006
Inactive	Mellard, Nancy M	598279	Agent - Life	2/6/2008	3/31/2009
Inactive	Miller, Brian D	593075	Agent - Health	2/24/2005	1/10/2006
Inactive	Miller, Brian D	593075	Agent - Life	2/24/2005	1/10/2006
Inactive	Whipple, Stephen David	550305	Agent - Health	2/20/2004	6/27/2007
Inactive	Whipple, Stephen David	550305	Agent - Life	2/20/2004	6/27/2007
Inactive	Wilkerson, Victor Patrick	513335	Agent - Health	7/16/2001	2/20/2004
Inactive	Wilkerson, Victor Patrick	513335	Agent - Life	7/16/2001	2/20/2004
Inactive	Winchester, James Patrick	549013	Agent - Health	2/20/2004	1/10/2006
Inactive	Winchester, James Patrick	549013	Agent - Life	2/20/2004	1/10/2006