DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Phelps, John R	DOIID	742980	NAIC NPN	15836518

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/22/2010	6/30/2013
Inactive	Non Resident	Agent	Health	11/22/2010	6/30/2013
* 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	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/9/2010	6/30/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/26/2011	4/1/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/26/2011	4/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	3/29/2012	6/30/2013
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	3/29/2012	4/1/2013