DEPARTMENT OF INSURANCE

Affiliations

Name	Staudt, Christopher Scott	DOIID	560300	NAIC NPN	7505662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/29/2003	12/1/2008
Inactive	Resident	Agent	Property	4/11/2003	12/1/2008
Inactive	Resident	Agent	Life	1/29/2003	12/1/2008
Inactive	Resident	Agent	Casualty	4/11/2003	12/1/2008
* 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	American Commerce Insurance Company	301665	Agent - Casualty	5/19/2003	10/24/2006
Inactive	American Commerce Insurance Company	301665	Agent - Property	5/19/2003	10/24/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/27/2006	11/7/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/27/2006	11/7/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	6/30/2006	12/10/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	6/30/2006	12/10/2006
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/12/2003	3/6/2007
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/12/2003	3/6/2007
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	11/27/2002	12/26/2002
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	11/27/2002	12/26/2002
Inactive	C.M. Life Insurance Company	301335	Agent - Health	2/11/2003	6/11/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Life	2/11/2003	6/11/2003
Inactive	First Colony Life Insurance Company	301179	Agent - Health	4/22/2004	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/22/2004	1/1/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/2/2004	9/28/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/2/2004	9/28/2006
Inactive	General American Life Insurance Company	300280	Agent - Health	7/7/2004	9/20/2006
Inactive	General American Life Insurance Company	300280	Agent - Life	7/7/2004	9/20/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/6/2004	12/8/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/6/2004	12/8/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	4/5/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	4/5/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/16/2003	8/23/2006
Inactive	Humana Insurance Company	301104	Agent - Health	5/16/2003	8/23/2006
Inactive	Humana Insurance Company	301104	Agent - Life	5/16/2003	8/23/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/30/2003	12/1/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/30/2003	12/1/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	12/1/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	12/1/2008
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	2/11/2003	6/11/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	2/11/2003	6/11/2003
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/8/2004	11/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/8/2004	11/19/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/12/2003	3/6/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/12/2003	3/6/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/12/2003	3/6/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/12/2003	3/6/2007
Inactive	Time Insurance Company	300683	Agent - Health	7/31/2006	5/21/2008
Inactive	Time Insurance Company	300683	Agent - Life	7/31/2006	5/21/2008
Inactive	TravCo Insurance Company	301828	Agent - Casualty	5/12/2003	3/6/2007
Inactive	TravCo Insurance Company	301828	Agent - Property	5/12/2003	3/6/2007
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	5/12/2003	3/6/2007
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	5/12/2003	3/6/2007
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/19/2005	3/6/2007
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	7/19/2005	3/6/2007
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	3/6/2007
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	3/6/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/12/2003	3/6/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/12/2003	3/6/2007
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	5/12/2003	3/6/2007
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	5/12/2003	3/6/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blue Grass Automobile Club Ins Service Inc.	398454	Agent - Health	6/27/2003	1/24/2007
Inactive	Blue Grass Automobile Club Ins Service Inc.	398454	Agent - Life	6/27/2003	1/24/2007
Inactive	Blue Grass Automobile Club Ins Service Inc.	398454	Agent - Casualty	6/27/2003	1/24/2007
Inactive	Blue Grass Automobile Club Ins Service Inc.	398454	Agent - Property	6/27/2003	1/24/2007