DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kumm, Derald Eugene	DOIID	586621	NAIC NPN	7914873

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/23/2004	2/28/2013
Inactive	Non Resident	Agent	Health	4/23/2004	2/28/2013
* 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	American General Life Insurance Company	301585	Agent - Health	12/31/2012	2/28/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	2/28/2013
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	8/21/2008	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	8/21/2008	12/31/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	4/23/2004	3/17/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	4/23/2004	3/17/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	6/9/2008	2/28/2013
Inactive	Revol One Insurance Company	300681	Agent - Life	8/26/2010	9/26/2011
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	8/21/2008	2/28/2013
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	8/21/2008	2/28/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE First Enterprises LLC	610980	Agent - Health	6/9/2008	9/21/2011
Inactive	QBE First Enterprises LLC	610980	Agent - Life	8/26/2008	9/21/2011