DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Intermediary Group, Inc.	DOIID	595146	NAIC NPN	4629117

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/15/2004	3/31/2008
Inactive	Non Resident	Agent	Health	11/15/2004	3/31/2008
* 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	Delaware Life Insurance Company	301256	Agent - Life	6/9/2005	3/31/2008
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	11/18/2004	3/31/2008
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	11/18/2004	3/31/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	North, Timothy Owen	514133	Agent - Health	11/15/2004	3/31/2008
Inactive	North, Timothy Owen	514133	Agent - Life	11/15/2004	3/31/2008