DEPARTMENT OF INSURANCE

Affiliations

Name	NorthStar Agency LLC	DOIID	547057	NAIC NPN	7223486

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/18/2002	6/30/2005
Inactive	Resident	Agent	Property	4/8/2002	6/30/2005
Inactive	Resident	Agent	Casualty	4/8/2002	6/30/2005
Inactive	Resident	Agent	Life	3/18/2002	6/30/2005
* 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	AF&L Insurance Company	301582	Agent - Health	10/10/2002	6/30/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/8/2002	6/30/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/8/2002	6/30/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/16/2002	1/27/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/16/2002	1/27/2004
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	4/16/2002	6/30/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/11/2002	6/30/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/11/2002	6/30/2005
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/31/2003	12/15/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/13/2002	4/14/2005
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/13/2002	4/14/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	11/5/2002	6/30/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	11/5/2002	6/30/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/8/2002	6/30/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/8/2002	6/30/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/27/2002	6/30/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/27/2002	6/30/2005
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/29/2002	6/30/2005
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/29/2002	6/30/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/11/2002	6/30/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/11/2002	6/30/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/18/2002	6/30/2005
Inactive	Humana Insurance Company	301104	Agent - Health	3/18/2002	6/30/2005
Inactive	Humana Insurance Company	301104	Agent - Life	3/18/2002	6/30/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/15/2002	6/30/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	4/15/2002	6/30/2005
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/29/2002	6/30/2005
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/29/2002	6/30/2005
Inactive	Midland National Life Insurance Company	300923	Agent - Health	8/28/2003	7/20/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Life	8/28/2003	7/20/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/29/2002	6/30/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/29/2002	6/30/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/12/2002	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/12/2002	10/24/2003
Inactive	Time Insurance Company	300683	Agent - Health	5/15/2002	9/29/2004
Inactive	Time Insurance Company	300683	Agent - Life	5/15/2002	9/29/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/12/2002	10/24/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/12/2002	10/24/2003
Inactive	Union Central Life Insurance Company	300307	Agent - Health	5/28/2002	2/24/2003
Inactive	Union Central Life Insurance Company	300307	Agent - Life	5/28/2002	2/24/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/2/2002	6/30/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/2/2002	6/30/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/2/2002	6/30/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cox, David Brent	371735	Agent - Casualty	4/8/2002	6/30/2005
Inactive	Cox, David Brent	371735	Agent - Health	3/18/2002	6/30/2005
Inactive	Cox, David Brent	371735	Agent - Life	3/18/2002	6/30/2005
Inactive	Cox, David Brent	371735	Agent - Property	4/8/2002	6/30/2005