DEPARTMENT OF INSURANCE

Affiliations

Name	Justice, Roman Bryant	DOIID	590101	NAIC NPN	8105485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/7/2004	11/1/2009
Inactive	Resident	Agent	Life	6/7/2004	11/1/2009
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	6/22/2004	11/1/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/22/2004	11/1/2009
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	1/17/2005	4/13/2007
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	1/17/2005	4/13/2007
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/2/2004	12/28/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Health	8/12/2004	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	8/12/2004	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	10/19/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	10/19/2009
Inactive	Encova Life Insurance Company	301818	Agent - Life	8/18/2004	6/22/2009
Inactive	Everly Life Insurance Company	561641	Agent - Life	7/1/2006	12/19/2008
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	10/22/2004	12/20/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/22/2004	12/20/2004
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	9/9/2004	11/1/2009
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	9/9/2004	11/1/2009
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	6/7/2004	2/13/2007
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	6/7/2004	2/13/2007
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	2/15/2006	2/9/2009
Inactive	Manhattan Life Insurance Company	300880	Agent - Life	2/15/2006	2/9/2009
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/29/2004	2/9/2009
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	11/29/2004	2/9/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	6/15/2004	7/10/2007
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	6/15/2004	7/10/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	6/15/2004	6/23/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	6/15/2004	6/23/2005
Inactive	Settlers Life Insurance Company	300189	Agent - Life		7/1/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/8/2006	1/9/2007
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/8/2006	1/9/2007
Inactive	United Home Life Insurance Company	300421	Agent - Life	10/8/2004	9/7/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	8/24/2004	11/1/2009
Inactive	Medlink Inc	400721	Agent - Life	8/24/2004	11/1/2009