DEPARTMENT OF INSURANCE

Affiliations

Name	Delp, Cleves R	DOIID	697031	NAIC NPN	709662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/10/2009	11/30/2013
Inactive	Non Resident	Agent	Health	1/10/2009	11/30/2013
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	1/10/2009	11/30/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	5/9/2011	1/27/2012
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	5/9/2011	1/27/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	4/3/2009	4/18/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/3/2009	4/18/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	4/3/2009	4/18/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/1/2011	11/30/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/1/2011	11/30/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/1/2011	11/30/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/1/2011	11/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lion Street Insurance Services, LLC	701231	Agent - Life	4/3/2009	8/31/2011
Inactive	Lion Street Insurance Services, LLC	701231	Agent - Health	4/3/2009	8/31/2011
Inactive	TDC Companies Inc	751221	Agent - Life	4/5/2011	11/30/2013
Inactive	TDC Companies Inc	751221	Agent - Health	4/5/2011	11/30/2013