DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Purkapile, Steven Scott	DOIID	573203	NAIC NPN	1906874

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/15/2003	8/31/2008
Inactive	Non Resident	Agent	Life	9/15/2003	8/31/2008
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/12/2004	8/31/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/12/2004	8/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/12/2004	8/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/12/2004	8/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aon Consulting Inc NJ	399932	Agent - Health
Denied	Aon Consulting Inc NJ	399932	Agent - Life