DEPARTMENT OF INSURANCE

Affiliations

Name	Warren, Scott R	DOIID	563910	NAIC NPN	6623039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/22/2011	6/30/2012
Inactive	Non Resident	Agent	Life	3/22/2011	6/30/2012
* 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	2/12/2009	6/30/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/12/2009	6/30/2010
Inactive	American National Insurance Company	301861	Agent - Health	1/6/2012	6/30/2012
Inactive	American National Insurance Company	301861	Agent - Life	1/6/2012	6/30/2012
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	10/4/2011	6/30/2012
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	10/4/2011	6/30/2012
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	5/15/2006	6/30/2008
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	5/15/2006	6/30/2008
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	12/23/2008	11/29/2009
Inactive	Columbian Life Insurance Company	300810	Agent - Health	2/3/2003	6/30/2008
Inactive	Columbian Life Insurance Company	300810	Agent - Life	2/3/2003	6/30/2008
Inactive	Everly Life Insurance Company	561641	Agent - Life	12/10/2008	6/30/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/8/2009	2/15/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/8/2009	2/15/2010
Inactive	Independent Order of Foresters	300743	Agent - Health	3/23/2011	6/30/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	3/23/2011	6/30/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/8/2012	6/30/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/6/2009	4/28/2010
Inactive	Settlers Life Insurance Company	300189	Agent - Life		7/1/2006
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/1/2006	6/30/2008
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	12/1/2006	6/30/2008
Inactive	Time Insurance Company	300683	Agent - Health	3/12/2009	6/30/2010
Inactive	Time Insurance Company	300683	Agent - Life	3/12/2009	6/30/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/8/2012	6/30/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/8/2012	6/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/6/2009	4/28/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Columbian Financial Services Corporation	600101	Agent - Health	1/4/2005	2/9/2007
Inactive	Columbian Financial Services Corporation	600101	Agent - Life	1/5/2005	2/9/2007
Inactive	Niche Market Insurers Agency Inc.	775107	Agent - Health	2/17/2012	6/30/2012
Inactive	Niche Market Insurers Agency Inc.	775107	Agent - Life	2/17/2012	6/30/2012