DEPARTMENT OF INSURANCE

Affiliations

Name	Medellin, Eric Alberto	DOIID	548259	NAIC NPN	7080902

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/19/2002	1/31/2013
Inactive	Non Resident	Agent	Casualty	2/17/2004	1/31/2013
Inactive	Non Resident	Agent	Health	4/19/2002	1/31/2013
Inactive	Non Resident	Agent	Property	2/17/2004	1/31/2013
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Life	10/14/2008	7/27/2010
Inactive	Athene Annuity and Life Company	301893	Agent - Life	1/27/2009	4/8/2009
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	3/6/2004	10/26/2005
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	7/16/2009	8/11/2011
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	7/16/2009	8/11/2011
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	7/16/2009	8/11/2011
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	3/6/2004	10/26/2005
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/31/2008	11/29/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/31/2008	11/29/2010
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	7/21/2011	8/12/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	7/21/2011	8/12/2011
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/13/2006	1/31/2013
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	3/26/2009	1/31/2013
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	3/26/2009	1/31/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/19/2002	8/27/2004
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/19/2002	8/27/2004
Inactive	Time Insurance Company	300683	Agent - Health	10/23/2008	10/23/2009
Inactive	Time Insurance Company	300683	Agent - Life	10/23/2008	10/23/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/16/2008	1/9/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/16/2008	1/9/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	1/12/2007	6/30/2008
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	1/12/2007	6/30/2008
Denied	Financial Insurance Services, Inc.	514710	Agent - Property
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	1/12/2007	6/30/2008