DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roybal, Maxine D	DOIID	631785	NAIC NPN	7250338

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/23/2006	5/20/2010
Inactive	Non Resident	Agent	Life	5/23/2006	5/20/2010
* 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	American General Life Insurance Company	301585	Agent - Health	3/23/2007	8/27/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	3/23/2007	8/27/2007
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	3/20/2007	3/24/2008
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	3/20/2007	3/24/2008
Inactive	Revol One Insurance Company	300681	Agent - Health	3/17/2008	2/25/2009
Inactive	Revol One Insurance Company	300681	Agent - Life	3/17/2008	2/25/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	10/24/2006	2/25/2008
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	10/24/2006	2/25/2008
Inactive	United Home Life Insurance Company	300421	Agent - Life	4/9/2007	5/20/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE First Enterprises LLC	610980	Agent - Life	1/30/2007	2/20/2009
Inactive	QBE First Enterprises LLC	610980	Agent - Health	1/30/2007	2/20/2009