DEPARTMENT OF INSURANCE

Affiliations

Name	CCIT Insurance Services, LLC	DOIID	541200	NAIC NPN	7014699

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	11/13/2001	1/12/2004
Inactive	Resident	Agent	Life	11/13/2001	1/12/2004
* 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	Ability Insurance Company	301013	Agent - Health	1/8/2002	4/10/2003
Inactive	Ability Insurance Company	301013	Agent - Life	1/8/2002	4/10/2003
Inactive	Continental General Insurance Company	300691	Agent - Health	11/13/2001	1/28/2003
Inactive	Continental General Insurance Company	300691	Agent - Life	11/13/2001	1/28/2003
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/29/2002	1/12/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/24/2002	1/12/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	1/24/2002	1/12/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bain, Mark Alan	340808	Agent - Health	12/20/2001	6/6/2002
Inactive	Bain, Mark Alan	340808	Agent - Life	12/20/2001	6/6/2002
Inactive	Bell, Billy Wayne	513216	Agent - Health	1/30/2002	6/6/2002
Inactive	Bell, Billy Wayne	513216	Agent - Life	1/30/2002	6/6/2002
Inactive	Clemons, Daniel Thomas	533177	Agent - Health	11/13/2001	6/6/2002
Inactive	Clemons, Daniel Thomas	533177	Agent - Life	11/13/2001	6/6/2002
Denied	Costellow, Glenda D	370200	Agent - Health
Inactive	Costellow, Glenda D	370200	Agent - Life	11/13/2001	1/12/2004
Inactive	Costellow, Wayburn Allen	347664	Agent - Health	11/13/2001	1/12/2004
Inactive	Costellow, Wayburn Allen	347664	Agent - Life	11/13/2001	1/12/2004
Inactive	Green, Mark Anthony	373875	Agent - Health	11/13/2001	6/6/2002
Inactive	Green, Mark Anthony	373875	Agent - Life	11/13/2001	6/6/2002
Inactive	Lane, Donald Keith	383359	Agent - Health	11/13/2001	5/27/2002
Inactive	Lane, Donald Keith	383359	Agent - Life	11/13/2001	5/27/2002
Inactive	Langford, Gary Steven	359526	Agent - Health	11/13/2001	6/6/2002
Inactive	Langford, Gary Steven	359526	Agent - Life	11/13/2001	6/6/2002
Inactive	Lansden, William H	317248	Agent - Health	11/13/2001	1/12/2004
Inactive	Lansden, William H	317248	Agent - Life	11/13/2001	1/12/2004
Inactive	Lawrence, Clarence Edward	388999	Agent - Health	11/13/2001	1/12/2004
Inactive	Lawrence, Clarence Edward	388999	Agent - Life	11/13/2001	1/12/2004
Inactive	Lawrence, Lowell B	506400	Agent - Health	11/13/2001	6/30/2003
Inactive	Lawrence, Lowell B	506400	Agent - Life	11/13/2001	6/30/2003
Inactive	Page, Johnny M	501563	Agent - Health	11/13/2001	1/12/2004
Inactive	Page, Johnny M	501563	Agent - Life	11/13/2001	1/12/2004
Inactive	Reed, Phillip D	309337	Agent - Health	6/6/2002	1/12/2004
Inactive	Reed, Phillip D	309337	Agent - Life	6/6/2002	1/12/2004
Inactive	Sadler, James Garner	347658	Agent - Health	11/13/2001	1/12/2004
Inactive	Sadler, James Garner	347658	Agent - Life	11/13/2001	1/12/2004
Inactive	Salmon, Lisa Dawn	521423	Agent - Health	11/13/2001	6/6/2002
Inactive	Salmon, Lisa Dawn	521423	Agent - Life	11/13/2001	6/6/2002
Inactive	Shelton, George Mitchell	389911	Agent - Health	12/20/2001	6/6/2002
Inactive	Shelton, George Mitchell	389911	Agent - Life	12/20/2001	6/6/2002
Inactive	Thorpe, James Blair	506833	Agent - Health	6/6/2002	1/12/2004
Inactive	Thorpe, James Blair	506833	Agent - Life	6/6/2002	1/12/2004
Inactive	Weed, Nelson Daniel	367599	Agent - Health	3/4/2002	1/12/2004
Inactive	Weed, Nelson Daniel	367599	Agent - Life	3/4/2002	1/12/2004
Inactive	Williams, Gary K	312293	Agent - Health	11/13/2001	6/6/2002
Inactive	Williams, Gary K	312293	Agent - Life	11/13/2001	6/6/2002