DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Select - Midwest	DOIID	759916	NAIC NPN	16328355

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/3/2011	3/31/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crabtree, David G	339559	Agent - Life	8/3/2011	3/31/2013