DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Casey Sr, David DeWitt	DOIID	581614	NAIC NPN	3895456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/22/2003	3/31/2006
Inactive	Non Resident	Agent	Health	12/22/2003	3/31/2006
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/20/2004	3/31/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/20/2004	3/31/2006
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	3/31/2004	3/31/2006
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/31/2004	3/31/2006
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/19/2004	3/31/2006
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/19/2004	3/31/2006
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	6/24/2004	3/31/2006
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	6/24/2004	3/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mid- Atlantic Long Term Care	588725	Agent - Health	4/28/2004	2/10/2005
Inactive	Mid- Atlantic Long Term Care	588725	Agent - Life	4/28/2004	2/10/2005