DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	National Benefits Partner Insurance Agency LLC	DOIID	549454	NAIC NPN	7485834

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/1/2002	3/31/2010
Inactive	Non Resident	Agent	Health	6/26/2002	3/31/2010
Inactive	Non Resident	Agent	Life	6/26/2002	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	Aetna Health Inc. (PA)	660717	Agent - Health	2/15/2008	9/8/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/15/2008	9/8/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/15/2008	9/8/2009
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/10/2005	3/8/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/10/2005	3/8/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/4/2004	3/31/2010
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/4/2004	3/31/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/12/2004	3/31/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/12/2004	3/31/2010
Inactive	Security Financial Life Insurance Company	300208	Agent - Health	6/26/2002	12/20/2006
Inactive	Security Financial Life Insurance Company	300208	Agent - Life	6/26/2002	12/20/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/12/2004	3/31/2010
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/12/2004	3/31/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cowick, Martin Reed	676684	Administrator - Not Applicable	10/7/2008	3/31/2010
Inactive	Cowick, Martin Reed	676684	Agent - Health	11/20/2008	3/31/2010
Inactive	Cowick, Martin Reed	676684	Agent - Life	11/20/2008	3/31/2010
Inactive	Fisher, Jon Gregory	572559	Agent - Health	3/8/2004	8/31/2006
Inactive	Fisher, Jon Gregory	572559	Agent - Life	3/8/2004	8/31/2006
Inactive	Hall, James Larry	338226	Administrator - Not Applicable	11/1/2002	10/8/2008
Inactive	Hall, James Larry	338226	Agent - Health	6/26/2002	10/28/2008
Inactive	Hall, James Larry	338226	Agent - Life	6/26/2002	10/28/2008
Inactive	Westbye, Nicholas Arne	648215	Agent - Health	10/28/2008	3/31/2010
Inactive	Westbye, Nicholas Arne	648215	Agent - Life	10/28/2008	3/31/2010