DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Trinity Insurance Center, LLC	DOIID	558240	NAIC NPN	7469678

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/22/2002	12/1/2007
Inactive	Resident	Agent	Health	10/22/2002	12/1/2007
* 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	Ability Insurance Company	301013	Agent - Health	10/22/2002	6/21/2004
Inactive	Ability Insurance Company	301013	Agent - Life	10/22/2002	6/21/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Health	1/28/2003	4/24/2007
Inactive	Conseco Health Insurance Company	301725	Agent - Life	1/28/2003	4/24/2007
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	12/1/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	12/1/2007
Inactive	Encova Life Insurance Company	301818	Agent - Life	1/1/2003	12/1/2007
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/12/2003	12/17/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/12/2003	12/17/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/28/2003	12/1/2007
Inactive	Humana Insurance Company	301104	Agent - Health	2/28/2003	12/1/2007
Inactive	Humana Insurance Company	301104	Agent - Life	2/28/2003	12/1/2007
Inactive	Medico Insurance Company	301559	Agent - Health	11/4/2002	6/21/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Life	1/21/2003	12/1/2007
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	3/3/2003	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	3/3/2003	11/19/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/1/2003	12/1/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	7/1/2003	12/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kochanowski, Andrew John	324888	Agent - Health	9/30/2003	9/30/2007
Inactive	Kochanowski, Andrew John	324888	Agent - Life	9/30/2003	9/30/2007