DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Dennis Alan	DOIID	636748	NAIC NPN	8866031

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Limited Line Credit
Inactive	Resident	Agent	Health	8/22/2011	12/31/2011
Inactive	Resident	Agent	Life	8/22/2011	12/31/2011
* 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
Denied	Protective Life Insurance Company	300638	Agent - Limited Line Credit
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/22/2011	12/26/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/22/2011	12/26/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/22/2011	12/26/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/22/2011	12/26/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Legend Automotive Inc	520820	Agent - Limited Line Credit