DEPARTMENT OF INSURANCE

Affiliations

Name	Teal, Jeffrey Craig	DOIID	697902	NAIC NPN	12868173

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/16/2009	10/3/2011
Inactive	Resident	Agent	Life	3/16/2009	10/3/2011
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/27/2009	10/3/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/27/2009	10/3/2011
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	3/16/2009	11/4/2009
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	3/16/2009	11/4/2009
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	4/7/2009	11/4/2009
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	4/7/2009	11/4/2009
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/14/2009	11/6/2009
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	5/14/2009	11/6/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/9/2009	10/3/2011
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	10/9/2009	10/3/2011
Inactive	Humana Insurance Company	301104	Agent - Health	8/19/2009	11/17/2009
Inactive	Humana Insurance Company	301104	Agent - Life	8/19/2009	11/17/2009
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	7/12/2009	3/11/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	7/12/2009	3/11/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/29/2009	10/3/2011
Inactive	National States Insurance Company	300579	Agent - Health	10/1/2009	11/30/2010
Inactive	National States Insurance Company	300579	Agent - Life	10/1/2009	11/30/2010
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	7/12/2009	3/11/2010
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	7/12/2009	3/11/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/29/2009	10/3/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/29/2009	10/3/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Ins Group LLC	661217	Agent - Health	6/4/2010	10/3/2011
Inactive	Affinity Ins Group LLC	661217	Agent - Life	6/4/2010	10/3/2011