DEPARTMENT OF INSURANCE

Affiliations

Name	Klein, William C	DOIID	618025	NAIC NPN	1767367

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/17/2005	6/30/2010
Inactive	Non Resident	Agent	Life	10/17/2005	6/30/2010
* 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	2/16/2006	6/30/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/16/2006	6/30/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	7/16/2007	5/6/2009
Inactive	Continental General Insurance Company	300691	Agent - Health	10/20/2005	6/30/2010
Inactive	Continental General Insurance Company	300691	Agent - Life	10/20/2005	6/30/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/12/2007	8/11/2009
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/12/2007	8/11/2009
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	4/17/2008	6/30/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	9/7/2006	6/30/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	4/26/2007	6/30/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/17/2007	7/22/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	4/17/2007	6/30/2010
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	8/20/2007	11/27/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	8/20/2007	11/27/2008
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Health	10/20/2005	6/30/2010
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Life	10/20/2005	6/30/2010
Inactive	Security Life Insurance Company of America	300936	Agent - Health	10/11/2006	3/24/2009
Inactive	Security Life Insurance Company of America	300936	Agent - Life	10/11/2006	3/24/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/4/2008	7/22/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/4/2008	6/30/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Senior Benefits LLC	544189	Agent - Life	2/6/2006	11/10/2008
Inactive	American Senior Benefits LLC	544189	Agent - Health	2/6/2006	11/10/2008
Inactive	Ceres Sales of Ohio, LLC	559891	Agent - Life	11/8/2005	11/10/2008
Inactive	Ceres Sales of Ohio, LLC	559891	Agent - Health	11/8/2005	11/10/2008
Inactive	QQAgency of Ohio, Inc.	544184	Agent - Life	11/16/2005	3/31/2010
Inactive	QQAgency of Ohio, Inc.	544184	Agent - Health	11/16/2005	3/31/2010