DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	State Street Brokerage, Inc.	DOIID	583381	NAIC NPN	7704138

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/3/2004	3/31/2006
Inactive	Non Resident	Agent	Health	3/3/2004	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	National Western Life Insurance Company	301515	Agent - Health	3/12/2004	9/2/2004
Inactive	National Western Life Insurance Company	301515	Agent - Life	3/12/2004	9/2/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sloan, Gregory M	582845	Agent - Health	3/3/2004	3/31/2006
Inactive	Sloan, Gregory M	582845	Agent - Life	3/3/2004	3/31/2006
Inactive	Torgerson, James E	582851	Agent - Health	9/30/2005	3/31/2006
Inactive	Torgerson, James E	582851	Agent - Life	9/30/2005	3/31/2006