DEPARTMENT OF INSURANCE

Affiliations

Name	Alliance Insurance Managements Inc.	DOIID	536763	NAIC NPN	7223390

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	10/2/2001	3/31/2005
Inactive	Resident	Agent	Life	9/11/2001	5/31/2005
* 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	CHA HMO, Inc.	300662	Agent - Health	11/9/2001	3/31/2005
Inactive	CICA Life Insurance Company of America	600487	Agent - Health	1/1/2005	3/31/2005
Inactive	CICA Life Insurance Company of America	600487	Agent - Life	1/1/2005	5/31/2005
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	2/11/2002	11/24/2003
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	2/11/2002	11/24/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/24/2001	3/31/2005
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/24/2001	5/31/2005
Inactive	Conseco Health Insurance Company	301725	Agent - Health	11/26/2001	3/31/2005
Inactive	Conseco Health Insurance Company	301725	Agent - Life	11/26/2001	5/31/2005
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/26/2001	5/31/2005
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/24/2001	5/31/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	3/4/2003	3/17/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/4/2003	3/17/2005
Inactive	First Alliance Insurance Company	301000	Agent - Health	10/2/2001	1/1/2005
Inactive	First Alliance Insurance Company	301000	Agent - Life	9/11/2001	1/1/2005
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	2/15/2002	3/31/2005
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	2/15/2002	5/31/2005
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/29/2002	10/5/2004
Inactive	National Western Life Insurance Company	301515	Agent - Life	10/17/2001	10/6/2003
Inactive	Principal Life Insurance Company	300129	Agent - Health	11/5/2001	3/31/2005
Inactive	Principal Life Insurance Company	300129	Agent - Life	11/5/2001	5/31/2005
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/15/2002	10/1/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/15/2002	10/1/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	11/26/2001	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	11/26/2001	7/18/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Breuer, Matthew Paul	364175	Agent - Life	1/21/2004	5/31/2005
Inactive	Owen, David Abraham	357466	Agent - Health	10/2/2001	1/21/2004
Inactive	Owen, David Abraham	357466	Agent - Life	9/11/2001	1/21/2004
Inactive	Vance, Grover Scott	390068	Agent - Health	2/10/2004	3/30/2005
Inactive	Vance, Grover Scott	390068	Agent - Life	2/10/2004	3/30/2005
Inactive	Zahn, Gregg Earl	326935	Agent - Life	9/11/2001	2/10/2004