DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lydick III, Donald Frank	DOIID	556962	NAIC NPN	3140626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/15/2002	5/31/2005
Inactive	Non Resident	Agent	Life	10/15/2002	5/31/2005
* 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	American General Assurance Company	300586	Agent - Health	12/2/2002	5/31/2005
Inactive	American General Assurance Company	300586	Agent - Life	12/2/2002	5/31/2005
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	12/13/2002	5/31/2005
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	12/13/2002	5/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Southwest Reinsure Inc.	397997	Agent - Health	3/17/2005	8/11/2005
Inactive	Southwest Reinsure Inc.	397997	Agent - Life	3/17/2005	8/11/2005