DEPARTMENT OF INSURANCE

Affiliations

Name	Stern, Carl Robert	DOIID	614370	NAIC NPN	255921

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/23/2005	2/28/2011
Inactive	Non Resident	Agent	Life	8/23/2005	2/28/2011
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	12/2/2008	8/5/2010
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/2/2008	8/5/2010
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	4/16/2007	7/7/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/9/2007	2/28/2011
Inactive	Independent Order of Foresters	300743	Agent - Life	10/1/2007	2/28/2011
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/15/2007	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/15/2007	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	2/28/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	2/28/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/20/2009	3/15/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/20/2009	3/15/2011
Inactive	MedAmerica Insurance Company	301568	Agent - Health	2/11/2008	6/23/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/4/2008	11/25/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/4/2008	11/25/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/27/2008	2/28/2011
Inactive	National Western Life Insurance Company	301515	Agent - Health	1/3/2007	1/27/2009
Inactive	National Western Life Insurance Company	301515	Agent - Life	1/3/2007	1/27/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	8/18/2009	2/28/2011
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/18/2009	2/28/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	12/21/2008	3/22/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	12/21/2008	2/28/2011
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	1/31/2008	11/27/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	1/31/2008	11/27/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/24/2009	2/28/2011
Inactive	United World Life Insurance Company	300532	Agent - Health	7/18/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/19/2007	2/28/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/19/2007	2/28/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/21/2008	3/22/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/21/2008	2/28/2011
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	9/2/2005	2/28/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	10/30/2008	11/3/2010
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	10/30/2008	11/3/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Simplicity Life, Inc	678135	Agent - Life	10/7/2008	2/28/2011
Inactive	Simplicity Life, Inc	678135	Agent - Health	10/7/2008	2/28/2011