DEPARTMENT OF INSURANCE

Affiliations

Name	GBS Retirement Services, Inc.	DOIID	583917	NAIC NPN	957245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Variable Life and Variable Annuities
Inactive	Non Resident	Agent	Health	2/3/2004	3/31/2010
Inactive	Non Resident	Agent	Life	2/3/2004	3/31/2010
* 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	American General Life Insurance Company of Delaware	301057	Agent - Health	2/10/2005	12/30/2008
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/10/2005	12/30/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/25/2004	3/31/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/25/2004	3/31/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Butts, Diana Fay	570061	Agent - Health	2/3/2004	3/31/2010
Inactive	Butts, Diana Fay	570061	Agent - Life	2/3/2004	3/31/2010