DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Demir, Slaven	DOIID	830272	NAIC NPN	17143928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/14/2014	4/30/2015
Inactive	Resident	Agent	Health	1/14/2014	4/30/2015
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/25/2014	5/19/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/25/2014	5/19/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Specialists, LLC	517174	Agent - Life	4/25/2014	4/30/2015
Inactive	Insurance Specialists, LLC	517174	Agent - Health	4/25/2014	4/30/2015