DEPARTMENT OF INSURANCE

Affiliations

Name	Malcolm II, Douglas Cole	DOIID	583562	NAIC NPN	7983919

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	11/16/2004	7/1/2006
Inactive	Resident	Agent	Life	2/6/2004	7/1/2006
Inactive	Resident	Agent	Health	2/6/2004	7/1/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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	7/6/2005	7/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/6/2005	7/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	7/6/2005	7/1/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/12/2005	6/16/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/12/2005	6/16/2006
Inactive	American General Life Insurance Company	301585	Agent - Health	3/22/2004	7/1/2006
Inactive	American General Life Insurance Company	301585	Agent - Life	3/22/2004	7/1/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Health	12/23/2004	4/13/2005
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/23/2004	4/13/2005
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/22/2004	7/1/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Health	2/13/2004	6/21/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	2/13/2004	6/21/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	12/9/2004	6/21/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/7/2005	7/1/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/7/2005	7/1/2006
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/5/2004	7/1/2006
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/5/2004	7/1/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/7/2005	2/15/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/7/2005	2/15/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/2/2005	7/1/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/2/2005	7/1/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/18/2004	7/1/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/18/2004	7/1/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	10/18/2004	7/1/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/12/2004	7/1/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/12/2004	7/1/2006
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	12/30/2004	6/21/2006
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	12/30/2004	6/21/2006
Inactive	MML Bay State Life Insurance Company	301198	Agent - Variable Life and Variable Annuities	12/31/2004	6/21/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	2/13/2004	6/21/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	2/13/2004	6/21/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	12/9/2004	6/21/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/17/2005	7/1/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/17/2005	7/1/2006
Inactive	Principal Life Insurance Company	300129	Agent - Health	5/5/2004	7/1/2006
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/5/2004	7/1/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Health	7/23/2004	7/1/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/23/2004	7/1/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Health	7/23/2004	7/1/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Life	7/23/2004	7/1/2006
Inactive		300277	Agent - Life	2/21/2005	7/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/3/2005	7/1/2006