DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lonergan, Douglas Doolan	DOIID	576119	NAIC NPN	7125002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/15/2003	10/31/2007
Inactive	Non Resident	Agent	Health	9/15/2003	10/31/2007
* 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 Heritage Life Insurance Company	300272	Agent - Health	3/6/2004	10/31/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/6/2004	10/31/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/29/2003	10/31/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/29/2003	10/31/2007
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/16/2003	8/21/2006
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/16/2003	8/21/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefitelect Alliance, LLC	579757	Agent - Health	10/30/2003	5/23/2007
Inactive	Benefitelect Alliance, LLC	579757	Agent - Life	10/30/2003	5/23/2007