DEPARTMENT OF INSURANCE

Affiliations

Name	1-800-Life-Ins Agency Inc	DOIID	589040	NAIC NPN	7707042

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/10/2004	3/31/2016
Inactive	Non Resident	Agent	Health	5/10/2004	3/31/2016
* 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	7/5/2008	12/1/2014
Inactive	American General Life Insurance Company	301585	Agent - Life	7/5/2008	12/1/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	4/18/2006	6/13/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/18/2006	6/13/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/17/2014	3/31/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/28/2010	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/28/2010	9/16/2013
Inactive	Liberty Life Insurance Company	301542	Agent - Health	7/8/2004	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	7/8/2004	6/30/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Health	9/12/2008	12/14/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/12/2008	12/14/2015
Inactive	Prudential Insurance Company of America	300784	Agent - Health	9/12/2008	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	9/12/2008	12/23/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/3/2008	3/31/2016
Inactive	Revol One Insurance Company	300681	Agent - Life	7/21/2011	12/28/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	9/7/2010	3/31/2016
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	10/8/2009	3/31/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/10/2010	3/31/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/10/2010	3/31/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/16/2010	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/16/2010	1/27/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kinghorn, David Walter	581388	Agent - Life	5/10/2004	5/31/2007
Inactive	Lardy, Gary Richard	385607	Agent - Health	5/10/2004	3/31/2016
Inactive	Lardy, Gary Richard	385607	Agent - Life	5/10/2004	3/31/2016
Inactive	Simoni, Daniel Mario	522929	Agent - Health	5/10/2004	3/10/2011
Inactive	Simoni, Daniel Mario	522929	Agent - Life	5/10/2004	3/10/2011