DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fossi Group, Inc.[ The]	DOIID	536560	NAIC NPN	1619860

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/5/2001	3/31/2007
Inactive	Non Resident	Agent	Life	9/5/2001	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	Principal Life Insurance Company	300129	Agent - Health	9/5/2001	3/31/2007
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/5/2001	3/31/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adkins, Carla H	381842	Agent - Health	9/5/2001	3/31/2007
Inactive	Adkins, Carla H	381842	Agent - Life	9/5/2001	3/31/2007