DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Agency Services Consolidated Inc	DOIID	677378	NAIC NPN	1040496

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/29/2008	3/31/2014
Inactive	Non Resident	Agent	Life	4/29/2008	3/31/2014
Inactive	Non Resident	Agent	Casualty	2/19/2010	3/31/2014
Inactive	Non Resident	Agent	Property	2/19/2010	3/31/2014
* 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	Protective Life Insurance Company	300638	Agent - Health	5/12/2008	3/31/2014
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/12/2008	3/31/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Roesel, Richard George	391717	Agent - Casualty	2/19/2010	3/31/2014
Inactive	Roesel, Richard George	391717	Agent - Health	4/29/2008	3/31/2014
Inactive	Roesel, Richard George	391717	Agent - Life	4/29/2008	3/31/2014
Inactive	Roesel, Richard George	391717	Agent - Property	2/19/2010	3/31/2014