DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	League Insurance Agency, Inc.	DOIID	565502	NAIC NPN	3222666

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/6/2008	8/29/2011
Inactive	Non Resident	Agent	Health	3/10/2003	4/1/2013
Inactive	Non Resident	Agent	Life	3/10/2003	4/1/2013
* 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	Genworth Life Insurance Company	300623	Agent - Health	11/9/2010	4/1/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/9/2010	4/1/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/13/2010	4/1/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brigham, Derek J	334696	Administrator - Not Applicable	3/26/2003	5/31/2005
Inactive	Brigham, Derek J	334696	Agent - Health	3/10/2003	5/31/2005
Inactive	Brigham, Derek J	334696	Agent - Life	3/10/2003	5/31/2005
Inactive	Denholm, James A	596411	Administrator - Not Applicable	9/22/2006	8/20/2007
Inactive	Denholm, James A	596411	Agent - Health	1/24/2005	8/20/2007
Inactive	Denholm, James A	596411	Agent - Life	1/24/2005	8/20/2007
Inactive	Poppe, Christine E	659794	Administrator - Not Applicable	3/6/2008	8/29/2011
Inactive	Poppe, Christine E	659794	Agent - Health	9/17/2007	4/1/2013
Inactive	Poppe, Christine E	659794	Agent - Life	9/17/2007	4/1/2013