DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	IPC Insurance Management, Inc.	DOIID	574466	NAIC NPN	7824956

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/20/2003	3/31/2007
Inactive	Resident	Agent	Health	8/20/2003	3/31/2007
* 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	American National Insurance Company	301861	Agent - Health	6/1/2004	3/31/2007
Inactive	American National Insurance Company	301861	Agent - Life	6/1/2004	3/31/2007
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	6/11/2004	6/8/2006
Inactive	MedAmerica Insurance Company	301568	Agent - Health	2/10/2004	1/18/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/25/2003	1/11/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/25/2003	1/11/2005
Inactive	Trinity Life Insurance Company	552459	Agent - Life	11/4/2003	3/29/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Owen, David Abraham	357466	Agent - Health	8/20/2003	12/8/2004
Inactive	Owen, David Abraham	357466	Agent - Life	8/20/2003	12/8/2004
Inactive	Smyth, David Edward	560264	Agent - Health	12/15/2004	8/2/2005
Inactive	Smyth, David Edward	560264	Agent - Life	12/15/2004	8/2/2005
Inactive	York, Lawrence St John	327894	Agent - Health	8/23/2005	3/31/2007
Inactive	York, Lawrence St John	327894	Agent - Life	8/23/2005	3/31/2007