DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Game Plan Financial Marketing, LLC	DOIID	595709	NAIC NPN	7736770

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/16/2006	3/31/2008
Inactive	Non Resident	Agent	Health	2/16/2006	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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/22/2006	3/31/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/22/2006	3/31/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	12/19/2006	3/31/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	12/19/2006	3/31/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	9/24/2004	8/6/2005
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	9/24/2004	8/6/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Butler, Juan A	614427	Agent - Health	2/16/2006	3/31/2008
Inactive	Butler, Juan A	614427	Agent - Life	2/16/2006	3/31/2008
Inactive	Chouinard, Darryl J	611600	Agent - Health	2/16/2006	3/31/2008
Inactive	Chouinard, Darryl J	611600	Agent - Life	2/16/2006	3/31/2008
Inactive	Guillaume, Roger Nicholas	594863	Agent - Health	9/17/2004	8/3/2005
Inactive	Guillaume, Roger Nicholas	594863	Agent - Life	9/17/2004	8/3/2005