DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Super, Philip John	DOIID	542851	NAIC NPN	1628973

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	1/24/2008	10/5/2011
Inactive	Non Resident	Agent	Life	12/19/2001	10/5/2011
Inactive	Non Resident	Agent	Health	12/19/2001	10/5/2011
* 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 Assurance Company	300586	Agent - Health	5/5/2004	10/5/2011
Inactive	American General Assurance Company	300586	Agent - Life	5/5/2004	10/5/2011
Inactive	Clarendon National Insurance Company	300843	Agent - Health	3/24/2003	3/30/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/11/2002	4/22/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/23/2003	1/29/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/23/2003	1/29/2006
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	8/26/2002	10/2/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	8/26/2002	10/2/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/23/2003	1/29/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/23/2003	1/29/2006
Inactive	Time Insurance Company	300683	Agent - Health	12/19/2001	5/3/2011
Inactive	Time Insurance Company	300683	Agent - Life	12/19/2001	5/3/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/2/2008	10/5/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/2/2008	10/5/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/29/2002	10/5/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/29/2002	10/5/2011
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	2/28/2002	10/5/2011
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	2/28/2002	10/5/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Insurance Administrators Llc	395814	Agent - Health	6/29/2006	5/19/2011
Inactive	American Insurance Administrators Llc	395814	Agent - Life	6/29/2006	5/19/2011
Inactive	American Insurance Administrators Llc	395814	Administrator - Not Applicable	2/25/2008	5/19/2011