DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Baeza, David Lopez	DOIID	550299	NAIC NPN	4568322

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/13/2002	3/31/2009
Inactive	Non Resident	Agent	Life	6/13/2002	3/31/2009
Inactive	Non Resident	Agent	Casualty	3/3/2004	3/31/2009
Inactive	Non Resident	Agent	Property	3/3/2004	3/31/2009
* 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	Central States Health and Life Company of Omaha	301874	Agent - Health	8/19/2004	6/22/2005
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	8/19/2004	6/22/2005
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	8/19/2004	6/22/2005
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	8/19/2004	6/22/2005
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	1/26/2005	3/22/2005
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	1/26/2005	3/22/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/18/2004	3/31/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	5/30/2007	8/5/2008
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	5/30/2007	8/5/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/22/2008	8/5/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/22/2008	8/5/2008

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	2/27/2004	3/14/2005
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	2/27/2004	3/14/2005