DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Phillips, Douglas A	DOIID	552718	NAIC NPN	572582

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/1/2002	9/30/2008
Inactive	Non Resident	Agent	Life	7/1/2002	9/30/2008
Inactive	Non Resident	Agent	Health	7/1/2002	9/30/2008
Inactive	Non Resident	Agent	Property	7/1/2002	9/30/2008
* 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	Resource Life Insurance Company	300284	Agent - Health	7/1/2002	9/6/2007
Inactive	Resource Life Insurance Company	300284	Agent - Life	7/1/2002	9/6/2007
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	7/1/2002	9/6/2007
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	7/1/2002	9/6/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurant Dealer Services, Inc	399660	Agent - Casualty	8/27/2004	9/6/2007
Inactive	Assurant Dealer Services, Inc	399660	Agent - Health	8/27/2004	9/6/2007
Inactive	Assurant Dealer Services, Inc	399660	Agent - Life	8/27/2004	9/6/2007
Inactive	Assurant Dealer Services, Inc	399660	Agent - Property	8/27/2004	9/6/2007