DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Thomas R	DOIID	562181	NAIC NPN	7539286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	1/13/2003	7/31/2004
Inactive	Resident	Agent	Health	1/13/2003	7/31/2004
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	12/8/2003	7/1/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/8/2003	7/1/2004
Inactive	American General Life Insurance Company	301585	Agent - Health	9/30/2003	7/1/2004
Inactive	American General Life Insurance Company	301585	Agent - Life	9/30/2003	7/1/2004
Inactive	American National Insurance Company	301861	Agent - Health	10/22/2003	7/1/2004
Inactive	American National Insurance Company	301861	Agent - Life	10/22/2003	7/1/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Health	1/31/2003	7/1/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Life	1/31/2003	7/1/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	6/24/2003	7/1/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	6/24/2003	7/1/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	10/27/2003	7/1/2004
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/16/2003	7/1/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/14/2003	7/1/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/14/2003	7/1/2004
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	10/27/2003	7/1/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/6/2003	7/1/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/6/2003	7/1/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	11/6/2003	7/1/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	1/31/2003	7/1/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	1/31/2003	7/1/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	6/24/2003	7/1/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/10/2003	7/1/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	11/11/2003	7/1/2004
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/6/2003	7/1/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	6/24/2003	7/1/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Life	10/31/2003	7/1/2004
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/7/2003	7/1/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/7/2003	7/1/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	5/12/2003	7/1/2004
Inactive		300277	Agent - Life	8/22/2003	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Central Bank of Jefferson County, Inc.	398066	Agent - Health	5/27/2003	7/1/2004
Inactive	Central Bank of Jefferson County, Inc.	398066	Agent - Life	5/27/2003	7/1/2004