DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Agency for the American Working Family, Inc. (The) DBA : The Agency for the American Working Family	DOIID	598530	NAIC NPN	7114260

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/6/2004	3/2/2007
Inactive	Non Resident	Agent	Life	12/6/2004	3/2/2007
* 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	Peoples Benefit Life Insurance Company	301895	Agent - Health	12/20/2004	2/20/2007
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	12/20/2004	2/20/2007
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/20/2004	2/20/2007
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/20/2004	2/20/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Short, Brian David	525608	Agent - Health	12/6/2004	3/2/2007
Inactive	Short, Brian David	525608	Agent - Life	12/6/2004	3/2/2007