DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Humphrey, Richard Wesly	DOIID	787703	NAIC NPN	6513137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/6/2012	5/31/2016
Inactive	Non Resident	Agent	Life	8/6/2012	5/31/2016
* 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	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/6/2012	6/23/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/6/2012	6/23/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ubs Financial Services Ins Agency Inc	399373	Agent - Life	8/6/2012	5/31/2016
Inactive	Ubs Financial Services Ins Agency Inc	399373	Agent - Health	8/6/2012	5/31/2016