DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Agent, Cornell R	DOIID	536066	NAIC NPN	3637758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/10/2014	1/31/2020
Inactive	Non Resident	Agent	Health	11/10/2014	1/31/2020
* 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 General Life Insurance Company	301585	Agent - Health	4/19/2017	1/31/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	4/19/2017	1/31/2020
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	10/28/2015	8/10/2017
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	10/28/2015	8/10/2017
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/6/2003	1/31/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/6/2003	1/31/2006
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/14/2014	1/31/2020
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/14/2014	1/31/2020
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	8/22/2001	3/5/2004
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	8/22/2001	3/5/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	4/4/2016	2/18/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/4/2016	2/18/2019