DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Funk, William H	DOIID	761893	NAIC NPN	6844324

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/25/2011	2/28/2014
Inactive	Non Resident	Agent	Life	8/25/2011	2/28/2014
Inactive	Non Resident	Agent	Casualty	8/25/2011	2/28/2014
Inactive	Non Resident	Agent	Property	8/25/2011	2/28/2014
* 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	BancInsure, Inc.	301707	Agent - Casualty	9/7/2011	7/18/2013
Inactive	BancInsure, Inc.	301707	Agent - Health	9/7/2011	7/18/2013
Inactive	BancInsure, Inc.	301707	Agent - Property	9/7/2011	7/18/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BMSI Marketing, Inc.	562056	Agent - Property	9/7/2011	7/18/2013
Inactive	BMSI Marketing, Inc.	562056	Agent - Casualty	9/7/2011	7/18/2013