DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Dustin Eric	DOIID	583809	NAIC NPN	7987952

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/11/2004	6/16/2008
Inactive	Resident	Agent	Life	3/11/2004	6/16/2008
Inactive	Resident	Agent	Limited Line Credit	2/2/2004	4/26/2007
* 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
Denied	Jackson National Life Insurance Company	300486	Agent - Life
Inactive	Merit Life Insurance Co.	300150	Agent - Health	3/11/2004	4/26/2007
Inactive	Merit Life Insurance Co.	300150	Agent - Life	3/11/2004	4/26/2007
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	2/2/2004	4/26/2007
Denied	New York Life Insurance and Annuity Corporation	300726	Agent - Life
Denied	Western National Life Insurance Company	300461	Agent - Life
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/23/2007	6/16/2008
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/23/2007	6/16/2008
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	2/2/2004	4/26/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	5/25/2007	6/16/2008