DEPARTMENT OF INSURANCE

Affiliations

Name	Personalized Brokerage Services LLC	DOIID	614133	NAIC NPN	8515687

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/16/2005	1/16/2019
Inactive	Non Resident	Agent	Health	8/16/2005	1/16/2019
* 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	8/16/2005	1/16/2019
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/16/2005	1/16/2019
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/24/2005	8/7/2015
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/1/2008	10/27/2009
Inactive	Delaware Life Insurance Company	301256	Agent - Life	1/5/2006	1/16/2019
Inactive	General American Life Insurance Company	300280	Agent - Health	8/31/2005	11/20/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	8/31/2005	11/20/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/13/2007	10/9/2018
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/13/2007	10/9/2018
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/17/2009	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/17/2009	10/4/2012
Inactive	Integrity Life Insurance Company	301687	Agent - Health	8/23/2006	12/9/2008
Inactive	Integrity Life Insurance Company	301687	Agent - Life	8/23/2006	1/16/2019
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/27/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	7/27/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	8/21/2008	1/16/2019
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/21/2008	1/16/2019
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	9/29/2008	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	9/29/2008	7/14/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/16/2009	2/9/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/16/2009	2/9/2018
Inactive	MedAmerica Insurance Company	301568	Agent - Health	4/24/2006	4/23/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/31/2005	11/20/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/31/2005	11/20/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/31/2005	11/26/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/31/2005	11/26/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	12/18/2006	3/2/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/18/2006	3/2/2018
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	4/19/2006	3/31/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	4/19/2006	3/31/2009
Inactive	State Life Insurance Company	301497	Agent - Health	6/29/2016	6/22/2018
Inactive	State Life Insurance Company	301497	Agent - Life	6/29/2016	6/22/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/14/2016	6/14/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/14/2016	6/14/2018
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/28/2006	9/20/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chouinard, Darryl J	611600	Agent - Health	8/16/2005	1/14/2013
Inactive	Chouinard, Darryl J	611600	Agent - Life	8/16/2005	1/14/2013
Inactive	Hayworth, Todd Richard	901194	Agent - Health	2/5/2016	1/16/2019
Inactive	Hayworth, Todd Richard	901194	Agent - Life	2/5/2016	1/16/2019
Inactive	Seelye, Patrick K	611113	Agent - Health	4/23/2013	1/25/2016
Inactive	Seelye, Patrick K	611113	Agent - Life	4/23/2013	1/25/2016