DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	QQAgency of Ohio, Inc.	DOIID	544184	NAIC NPN	5698359

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/14/2002	3/31/2010
Inactive	Non Resident	Agent	Life	1/14/2002	3/31/2010
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/3/2002	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/3/2002	4/1/2007
Inactive	Continental General Insurance Company	300691	Agent - Health	1/14/2002	3/31/2010
Inactive	Continental General Insurance Company	300691	Agent - Life	1/14/2002	3/31/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	2/22/2002	7/27/2005
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	2/22/2002	7/27/2005
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	3/31/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	3/31/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Klein, William C	618025	Agent - Health	11/16/2005	3/31/2010
Inactive	Klein, William C	618025	Agent - Life	11/16/2005	3/31/2010
Inactive	Williams, Gloria Jean	537872	Agent - Health	1/14/2002	11/16/2005
Inactive	Williams, Gloria Jean	537872	Agent - Life	1/14/2002	11/16/2005