DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Militia Administrative Services, Inc	DOIID	562406	NAIC NPN	654129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	12/19/2002	11/2/2009
Inactive	Non Resident	Agent	Life	12/20/2002	2/23/2010
Inactive	Non Resident	Agent	Health	12/20/2002	2/23/2010
* 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	New York Life Insurance Company	300431	Agent - Health	3/13/2007	2/23/2010
Inactive	New York Life Insurance Company	300431	Agent - Life	3/13/2007	2/23/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jenkins, Ralph Austin	548507	Administrator - Not Applicable	12/19/2002	8/31/2009
Inactive	Jenkins, Ralph Austin	548507	Agent - Health	12/20/2002	8/31/2009
Inactive	Jenkins, Ralph Austin	548507	Agent - Life	12/20/2002	8/31/2009
Inactive	Weakley, Amanda Lee	554601	Agent - Health	3/15/2007	2/23/2010
Inactive	Weakley, Amanda Lee	554601	Agent - Life	3/15/2007	2/23/2010