DEPARTMENT OF INSURANCE

Affiliations

Name	Congress Insurance Agency, Inc.	DOIID	560752	NAIC NPN	1620165

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/14/2006	3/31/2008
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	8/4/2006	3/31/2008
Inactive	Non Resident	Agent	Casualty	8/9/2006	3/31/2008
Inactive	Non Resident	Agent	Life	7/14/2006	3/31/2008
Inactive	Non Resident	Agent	Property	8/9/2006	3/31/2008
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Docter, John J	374271	Agent - Casualty	8/9/2006	5/21/2008
Inactive	Docter, John J	374271	Agent - Health	7/14/2006	3/31/2008
Inactive	Docter, John J	374271	Agent - Life	7/14/2006	3/31/2008
Inactive	Docter, John J	374271	Agent - Property	8/9/2006	5/21/2008
Inactive	Docter, John J	374271	Agent - Variable Life and Variable Annuities	8/4/2006	3/31/2008
Inactive	Hendrickson, Virginia Reid	323997	Agent - Casualty	12/27/2002	4/27/2006
Inactive	Hendrickson, Virginia Reid	323997	Agent - Health	12/27/2002	4/27/2006
Inactive	Hendrickson, Virginia Reid	323997	Agent - Life	12/27/2002	4/27/2006
Inactive	Hendrickson, Virginia Reid	323997	Agent - Property	12/27/2002	4/27/2006
Inactive	Hendrickson, Virginia Reid	323997	Agent - Variable Life and Variable Annuities	12/27/2002	4/27/2006
Inactive	Marx, Robert Raymond	388867	Agent - Casualty	12/27/2002	1/28/2005
Inactive	Marx, Robert Raymond	388867	Agent - Health	12/27/2002	1/28/2005
Inactive	Marx, Robert Raymond	388867	Agent - Life	12/27/2002	1/28/2005
Inactive	Marx, Robert Raymond	388867	Agent - Property	12/27/2002	1/28/2005
Inactive	Marx, Robert Raymond	388867	Agent - Variable Life and Variable Annuities	12/27/2002	1/28/2005