DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Von Haasl, Peter Joseph	DOIID	576600	NAIC NPN	2540737

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2003		7/31/2025
Active	Non Resident	Agent	Life	9/22/2003		7/31/2025
* 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
Active	Banner Life Insurance Company	301696	Agent - Life	7/11/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/20/2003	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/20/2003	4/1/2007
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	10/14/2004	6/8/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/20/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/20/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CIGI Direct Insurance Services, Inc	510807	Agent - Health	6/11/2009	12/20/2010
Active	CIGI Direct Insurance Services, Inc	510807	Agent - Life	6/11/2009