DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	National Brokerage Consortium	DOIID	678494	NAIC NPN	2329708

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/15/2008	3/31/2012
Inactive	Non Resident	Agent	Health	4/15/2008	3/31/2012
* 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	Dearborn Life Insurance Company	300401	Agent - Health	4/29/2009	9/2/2011
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	4/29/2009	9/2/2011
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/23/2008	3/31/2012
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	12/22/2010	3/31/2012
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	12/22/2010	3/31/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/3/2009	3/31/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/3/2009	3/31/2012
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	9/29/2010	1/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/18/2008	3/31/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/18/2008	3/31/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Katz, Arnold M.	516775	Agent - Health	4/15/2008	3/31/2012
Inactive	Katz, Arnold M.	516775	Agent - Life	4/15/2008	3/31/2012