DEPARTMENT OF INSURANCE

Affiliations

Name	NC Insurance Services, Inc. DBA : Home 123 Insurance Services	DOIID	592513	NAIC NPN	8058966

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/5/2005	9/10/2007
Inactive	Non Resident	Agent	Life	7/15/2004	9/10/2007
Inactive	Non Resident	Agent	Casualty	7/15/2004	9/10/2007
Inactive	Non Resident	Agent	Property	7/15/2004	9/10/2007
* 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
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	3/22/2005	9/10/2007
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	3/22/2005	9/10/2007
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	1/17/2005	9/10/2007
Inactive	American Family Home Insurance Company	301817	Agent - Property	1/17/2005	9/10/2007
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/21/2005	9/10/2007
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/21/2005	9/10/2007
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/31/2006	9/10/2007
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/31/2006	9/10/2007
Inactive	Balboa Life Insurance Company	301327	Agent - Life	5/5/2006	9/8/2006
Inactive	Homesite Insurance Company	301139	Agent - Casualty	1/7/2005	9/10/2007
Inactive	Homesite Insurance Company	301139	Agent - Property	1/7/2005	9/10/2007
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	8/18/2005	6/8/2006
Inactive	Revol One Insurance Company	300681	Agent - Health	1/29/2007	3/9/2007
Inactive	Revol One Insurance Company	300681	Agent - Life	1/29/2007	3/9/2007
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	11/29/2005	9/10/2007
Inactive	Stillwater Insurance Company	567181	Agent - Property	11/29/2005	9/10/2007
Inactive	Time Insurance Company	300683	Agent - Health	12/14/2005	3/22/2007
Inactive	Time Insurance Company	300683	Agent - Life	12/14/2005	3/22/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/1/2004	9/10/2007
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	8/5/2005	9/10/2007
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	1/18/2005	6/8/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rivelli, Dennis Earl	394404	Agent - Casualty	7/15/2004	9/10/2007
Inactive	Rivelli, Dennis Earl	394404	Agent - Health	12/5/2005	9/10/2007
Inactive	Rivelli, Dennis Earl	394404	Agent - Life	7/15/2004	9/10/2007
Inactive	Rivelli, Dennis Earl	394404	Agent - Property	7/15/2004	9/10/2007