DEPARTMENT OF INSURANCE

Affiliations

Name	Worth, John Lee	DOIID	312381	NAIC NPN	2258092

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/26/1971	1/1/2016
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	1/1/2016
Inactive	Resident	Agent	General Lines	9/11/1972	8/15/2000
Inactive	Resident	Agent	Health	3/26/1971	1/1/2016
Inactive	Resident	Agent	Health Maintenance Organization	10/1/1999	3/1/2001
Inactive	Resident	Agent	Property	8/15/2000	1/1/2016
Inactive	Resident	Agent	Casualty	8/15/2000	1/1/2016
Inactive	Resident	Surplus Lines Broker	Not Applicable	9/1/2009	10/20/2011
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - General Lines	5/7/1991	9/10/1996
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	5/7/1991	9/10/1996
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	5/7/1991	9/10/1996
Inactive	AIG Assurance Company	300897	Agent - Casualty	5/9/2006	1/1/2016
Inactive	AIG Assurance Company	300897	Agent - General Lines	7/1/1997	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	5/9/2006	1/1/2016
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	9/19/2012	1/1/2016
Inactive	Aegis Security Insurance Company	300492	Agent - Property	9/19/2012	1/1/2016
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/25/2002	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/25/2002	11/20/2007
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	12/16/2003	12/13/2009
Inactive	AmTrust Insurance Company	300179	Agent - Property	12/16/2003	12/13/2009
Inactive	American Economy Insurance Company	300315	Agent - Casualty	6/11/2002	3/23/2015
Inactive	American Economy Insurance Company	300315	Agent - General Lines	6/20/1974	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	3/23/2015
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	7/12/2002	11/21/2008
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	3/23/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	3/23/2015
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Health	6/28/1989	3/31/1997
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Life	6/28/1989	3/31/1997
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/20/2007	1/21/2015
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/20/2007	1/21/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/13/1999	8/16/2004
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	3/4/2010	6/29/2014
Inactive	American Interstate Insurance Company	301092	Agent - Property	3/4/2010	6/29/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/4/2015	1/1/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/4/2015	1/1/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/4/2015	1/1/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/4/2015	1/1/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/4/2015	1/1/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/4/2015	1/1/2016
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	3/23/2015
Inactive	American States Insurance Company	301230	Agent - General Lines	6/20/1974	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	3/23/2015
Inactive	American States Life Insurance Company	301884	Agent - Health	3/26/1971	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	3/26/1971	12/6/2004
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	8/15/2000	12/17/2004
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	4/7/1981	8/15/2000
Inactive	American States Preferred Insurance Company	300609	Agent - Property	8/15/2000	12/17/2004
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/20/2007	1/21/2015
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/20/2007	1/21/2015
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	2/20/2004	5/26/2004
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/20/2004	5/26/2004
Inactive	Amerisure Insurance Company	300298	Agent - General Lines	4/25/1988	3/31/1996
Inactive	Amerisure Mutual Insurance Company	301576	Agent - General Lines	4/25/1988	3/31/1996
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	3/7/1984	10/23/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	3/7/1984	10/23/2006
Inactive	Assurance Company of America	300432	Agent - Casualty	10/18/2002	1/15/2014
Inactive	Assurance Company of America	300432	Agent - General Lines	8/10/1993	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	10/18/2002	1/15/2014
Inactive	Athene Annuity and Life Company	301893	Agent - Life	3/22/2002	7/7/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/5/2001	7/21/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/5/2001	7/21/2008
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	9/12/2006	3/18/2011
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	9/12/2006	3/18/2011
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	10/19/1994	9/10/1996
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	10/27/2008	1/5/2010
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	6/13/1991	8/15/2000
Inactive	Bedivere Insurance Company	300710	Agent - Property	10/27/2008	1/5/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/8/2007	1/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/8/2007	1/1/2016
Inactive	CastlePoint National Insurance Company	300082	Agent - Casualty	8/15/2000	11/30/2004
Inactive	CastlePoint National Insurance Company	300082	Agent - General Lines	3/30/1993	8/15/2000
Inactive	CastlePoint National Insurance Company	300082	Agent - Property	8/15/2000	11/30/2004
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	2/26/2008	12/9/2010
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	2/26/2008	12/9/2010
Inactive	Century Indemnity Company	301310	Agent - General Lines	5/7/1991	9/10/1996
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/5/2001	7/21/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/5/2001	7/21/2008
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/18/2000	4/1/2007
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/18/2002	1/21/2015
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	10/18/2002	1/21/2015
Inactive	Conseco Insurance Company	301202	Agent - Life	2/26/2002	1/13/2003
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	3/23/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	3/23/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/12/2003	4/27/2010
Inactive	EMC National Life Company	300388	Agent - Health	5/22/2014	9/30/2014
Inactive	EMC National Life Company	300388	Agent - Life	5/22/2014	9/30/2014
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	5/20/2014	9/29/2014
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	5/20/2014	9/29/2014
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	2/9/2011	10/4/2012
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - General Lines	12/16/1994	8/15/2000
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	2/9/2011	10/4/2012
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/27/2006	1/1/2016
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/27/2006	1/1/2016
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	9/25/2006	1/1/2016
Inactive	Encompass Insurance Company of America	556578	Agent - Property	9/25/2006	1/1/2016
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	2/24/2005	8/5/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	2/24/2005	8/5/2013
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	1/22/2008	8/17/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	1/22/2008	8/17/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/24/2005	8/5/2013
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	4/15/2004	3/6/2009
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/15/2004	3/6/2009
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/15/2000	10/28/2008
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/18/2002	1/21/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/18/2002	1/21/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	3/23/2015
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	3/23/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/24/2004	1/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/24/2004	1/1/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/21/2012	8/1/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/21/2012	8/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/21/2012	8/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/21/2012	8/1/2014
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	9/25/1996	11/11/2011
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	6/21/2004	11/11/2011
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	4/11/1986	3/31/1997
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	4/11/1986	3/31/1997
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	3/23/2015
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	3/23/2015
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/18/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/18/2002	11/30/2007
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Casualty	9/23/2003	12/17/2004
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Property	9/23/2003	12/17/2004
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	1/1/2016
Inactive	Granite State Insurance Company	300818	Agent - General Lines	7/1/1997	8/15/2000
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	1/1/2016
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	1/13/2003
Inactive	Great American Insurance Company	301586	Agent - General Lines	4/20/1977	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	1/13/2003
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	4/20/1977	12/6/1999
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	9/28/1992	3/31/1996
Inactive	Great American Spirit Insurance Company	300233	Agent - General Lines	8/31/1993	3/31/1996
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	5/20/2014	9/29/2014
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	5/20/2014	9/29/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	11/12/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	11/12/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/12/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/12/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/12/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/12/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	11/12/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	11/12/2009
Inactive	Healthcare Underwriters Group Insurance Company of Kentucky, Inc.	582377	Agent - Casualty	1/15/2014	1/8/2015
Inactive	Healthcare Underwriters Group, Inc,	863144	Agent - Casualty	1/8/2015	1/1/2016
Inactive	Humana Insurance Company	301104	Agent - Health	7/10/1990	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Life	7/10/1990	9/12/2003
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/22/2007	1/1/2016
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	7/1/1997	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/22/2007	1/1/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	5/7/1991	9/10/1996
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	3/23/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	3/23/2015
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	3/20/2002	7/8/2008
Inactive	Insurance Company of North America	300226	Agent - General Lines	5/7/1991	9/10/1996
Inactive	Integrity Life Insurance Company	301687	Agent - Life	3/14/1998	12/13/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	10/6/1999	1/1/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	10/6/1999	1/1/2016
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	12/31/2012	10/9/2013
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	10/21/2005	2/21/2008
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	11/23/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	11/23/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	11/23/2004	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	11/23/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	11/23/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	11/23/2004	4/2/2007
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	9/23/2003	12/16/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	9/23/2003	12/16/2004
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	4/27/2001	1/1/2016
Inactive	Kentucky National Insurance Company	301625	Agent - Property	4/27/2001	1/1/2016
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	10/27/2008	1/5/2010
Inactive	Lamorak Insurance Company	301231	Agent - General Lines	12/16/1994	8/15/2000
Inactive	Lamorak Insurance Company	301231	Agent - Property	10/27/2008	1/5/2010
Inactive	Life Insurance Company of North America	300711	Agent - Health	9/2/2008	1/1/2016
Inactive	Life Insurance Company of North America	300711	Agent - Life	9/2/2008	1/1/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	8/5/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	8/5/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/22/2007	8/5/2008
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/18/2002	1/15/2014
Inactive	Maryland Casualty Company	301719	Agent - General Lines	8/10/1993	3/31/1996
Inactive	Maryland Casualty Company	301719	Agent - Property	10/18/2002	1/15/2014
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	2/24/2005	8/5/2013
Inactive	Midland National Life Insurance Company	300923	Agent - Health	6/11/2002	5/21/2008
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/13/2002	5/21/2008
Inactive	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	6/11/2002	5/21/2008
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	2/10/2009	12/13/2009
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	2/10/2009	12/13/2009
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	3/13/2012	7/22/2014
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	3/13/2012	7/22/2014
Inactive	National General Insurance Company	300152	Agent - Casualty	1/4/2011	4/3/2013
Inactive	National General Insurance Company	300152	Agent - Property	1/4/2011	4/3/2013
Inactive	National Insurance Association	301386	Agent - General Lines	10/19/1988	3/31/1998
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	3/23/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	3/23/2015
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	8/15/2000	7/6/2004
Inactive	New Hampshire Insurance Company	301670	Agent - General Lines	7/1/1997	8/15/2000
Inactive	New Hampshire Insurance Company	301670	Agent - Property	8/15/2000	7/6/2004
Inactive	Northern Assurance Company of America The	301331	Agent - Casualty	8/15/2000	4/28/2005
Inactive	Northern Assurance Company of America The	301331	Agent - General Lines	12/16/1994	8/15/2000
Inactive	Northern Assurance Company of America The	301331	Agent - Property	8/15/2000	4/28/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/18/2002	1/15/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/18/2002	1/15/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	3/23/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	3/23/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	3/23/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	3/23/2015
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	8/15/2000	8/1/2014
Inactive	Old Republic Insurance Company	301225	Agent - General Lines	2/22/1991	8/15/2000
Inactive	Old Republic Insurance Company	301225	Agent - Property	8/15/2000	8/1/2014
Inactive	Omni Insurance Company	301545	Agent - General Lines	9/10/1991	3/31/2000
Inactive	PHL Variable Insurance Company	300525	Agent - Life	6/18/2004	5/2/2006
Inactive	PHL Variable Insurance Company	300525	Agent - Variable Life and Variable Annuities	6/18/2004	5/2/2006
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	5/7/1991	9/10/1996
Inactive	Pacific Life Insurance Company	301848	Agent - Health	5/15/1997	7/23/2013
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/15/1997	2/9/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	6/25/2001	2/9/2004
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	3/23/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	3/23/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	3/23/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	3/23/2015
Inactive	Pennsylvania Insurance Company	301219	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	6/13/1991	8/15/2000
Inactive	Pennsylvania Insurance Company	301219	Agent - Property	8/15/2000	11/22/2004
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/13/1983	5/20/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/13/1983	5/20/1999
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/17/2010
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/6/1997	12/22/2011
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/6/1997	12/31/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	3/23/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	3/23/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	3/23/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	3/23/2015
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/14/1992	3/31/1996
Inactive	SPARTA Insurance Company	301523	Agent - Casualty	8/15/2000	11/30/2004
Inactive	SPARTA Insurance Company	301523	Agent - General Lines	12/16/1994	8/15/2000
Inactive	SPARTA Insurance Company	301523	Agent - Property	8/15/2000	11/30/2004
Inactive	Sage Life Assurance of America Inc.	301274	Agent - Life	3/11/2002	3/31/2003
Inactive	Sage Life Assurance of America Inc.	301274	Agent - Variable Life and Variable Annuities	3/11/2002	3/31/2003
Inactive	Security National Insurance Company	301151	Agent - Casualty	12/16/2003	12/13/2009
Inactive	Security National Insurance Company	301151	Agent - General Lines	7/3/1996	8/15/2000
Inactive	Security National Insurance Company	301151	Agent - Property	12/16/2003	12/13/2009
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Casualty	3/4/2010	11/23/2010
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Property	3/4/2010	11/23/2010
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/5/2001	7/21/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/5/2001	7/21/2008
Inactive	Symetra Life Insurance Company	301691	Agent - Health	10/7/2008	10/4/2011
Inactive	Symetra Life Insurance Company	301691	Agent - Life	10/7/2008	10/4/2011
Inactive	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	5/31/2001	12/22/2006
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/5/2001	7/21/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/5/2001	7/21/2008
Inactive	TravCo Insurance Company	301828	Agent - Casualty	1/5/2001	7/21/2008
Inactive	TravCo Insurance Company	301828	Agent - Property	1/5/2001	7/21/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	7/21/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	7/21/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/18/2005	7/21/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/18/2005	7/21/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/5/2001	7/21/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/5/2001	7/21/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	7/21/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	7/21/2008
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	12/16/2003	6/9/2009
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	7/3/1996	8/15/2000
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	12/16/2003	6/9/2009
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	1/22/2008	8/17/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	1/22/2008	8/17/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	11/12/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/12/2009
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	8/15/2000	2/10/2006
Inactive	U.S. Specialty Insurance Company	300186	Agent - General Lines	8/24/1999	8/15/2000
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	8/15/2000	2/10/2006
Inactive	Union Security Insurance Company	301844	Agent - Health	9/18/1996	11/20/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	9/18/1996	11/20/2003
Inactive	United American Insurance Company	300910	Agent - Health	2/28/1986	9/8/1997
Inactive	United American Insurance Company	300910	Agent - Life	2/28/1986	9/8/1997
Inactive	United Investors Life Insurance Company	301873	Agent - Life	3/12/2002	12/23/2004
Inactive	United Investors Life Insurance Company	301873	Agent - Variable Life and Variable Annuities	3/12/2002	12/23/2004
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	12/14/2006
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	9/11/1972	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	12/14/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	2/3/2004	8/26/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	5/12/2003	8/26/2008
Inactive	Vesta Fire Insurance Corporation	300828	Agent - General Lines	3/23/1993	12/2/1996
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	3/23/2015
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	3/23/2015
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	9/5/1996	7/1/2002
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	6/24/2004	11/11/2008
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Variable Life and Variable Annuities	6/24/2004	11/11/2008
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	9/1/2005
Inactive	Western Surety Company	300283	Agent - General Lines	11/20/1980	8/15/2000
Inactive	Wilco Life Insurance Company	300122	Agent - Life	1/31/2003	8/18/2003
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/20/2007	1/21/2015
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/20/2007	1/21/2015
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/20/2007	1/21/2015
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/20/2007	1/21/2015
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	3/22/2002	10/17/2002
Inactive	Zurich American Life Insurance Company	300216	Agent - Variable Life and Variable Annuities	3/22/2002	10/17/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	JP Newco Inc.	545168	Agent - Life	10/18/2002	3/31/2006
Inactive	JP Newco Inc.	545168	Agent - Health	10/18/2002	3/31/2006
Inactive	Lincoln Financial Securities Corporation	400816	Agent - Life	7/26/2004	2/14/2005
Inactive	Lincoln Financial Securities Corporation	400816	Agent - Health	7/26/2004	2/14/2005
Inactive	Lincoln Financial Securities Corporation	400816	Agent - Variable Life and Variable Annuities	7/26/2004	2/14/2005
Inactive	PALFC, LLC	502051	Agent - General Lines	2/25/2000	8/15/2000
Inactive	PALFC, LLC	502051	Agent - Life	4/20/2000	3/8/2001
Inactive	PALFC, LLC	502051	Agent - Health	4/20/2000	3/8/2001
Inactive	PALFC, LLC	502051	Agent - Property	8/15/2000	10/9/2003
Inactive	PALFC, LLC	502051	Agent - Casualty	8/15/2000	10/9/2003
Inactive	PAMCC, LLC	505489	Agent - Life	4/20/2000	3/8/2001
Inactive	PAMCC, LLC	505489	Agent - Health	4/20/2000	3/8/2001
Inactive	PBPH LLC	400798	Agent - General Lines	11/6/1999	8/15/2000
Inactive	PBPH LLC	400798	Agent - Life	10/27/1999	3/8/2001
Inactive	PBPH LLC	400798	Agent - Health	10/27/1999	3/8/2001
Inactive	PBPH LLC	400798	Agent - Property	8/15/2000	5/31/2003
Inactive	PBPH LLC	400798	Agent - Casualty	8/15/2000	5/31/2003
Inactive	PCSM, LLC	502052	Agent - General Lines	2/25/2000	8/15/2000
Inactive	PCSM, LLC	502052	Agent - Life	4/20/2000	3/8/2001
Inactive	PCSM, LLC	502052	Agent - Health	4/20/2000	3/8/2001
Inactive	PCSM, LLC	502052	Agent - Property	8/15/2000	10/9/2003
Inactive	PCSM, LLC	502052	Agent - Casualty	8/15/2000	10/9/2003
Inactive	PCWM LLC	400797	Agent - General Lines	11/6/1999	8/15/2000
Inactive	PCWM LLC	400797	Agent - Life	10/27/1999	3/1/2001
Inactive	PCWM LLC	400797	Agent - Health	10/27/1999	3/8/2001
Inactive	PCWM LLC	400797	Agent - Property	8/15/2000	5/31/2003
Inactive	PCWM LLC	400797	Agent - Casualty	8/15/2000	5/31/2003
Inactive	PIMF, LLC	502053	Agent - General Lines	2/25/2000	8/15/2000
Inactive	PIMF, LLC	502053	Agent - Life	4/20/2000	3/8/2001
Inactive	PIMF, LLC	502053	Agent - Health	4/20/2000	3/8/2001
Inactive	PIMF, LLC	502053	Agent - Property	8/15/2000	10/9/2003
Inactive	PIMF, LLC	502053	Agent - Casualty	8/15/2000	10/9/2003
Inactive	PLLM, LLC	502054	Agent - General Lines	2/25/2000	8/15/2000
Inactive	PLLM, LLC	502054	Agent - Life	4/20/2000	3/8/2001
Inactive	PLLM, LLC	502054	Agent - Health	4/20/2000	3/8/2001
Inactive	PLLM, LLC	502054	Agent - Property	8/15/2000	10/9/2003
Inactive	PLLM, LLC	502054	Agent - Casualty	8/15/2000	10/9/2003
Inactive	PMMC LLC	400205	Agent - General Lines	11/6/1999	8/15/2000
Inactive	PMMC LLC	400205	Agent - Life	10/27/1999	3/8/2001
Inactive	PMMC LLC	400205	Agent - Health	10/27/1999	3/8/2001
Inactive	PMMC LLC	400205	Agent - Property	8/15/2000	5/31/2003
Inactive	PMMC LLC	400205	Agent - Casualty	8/15/2000	5/31/2003
Inactive	PRDC, LLC	502055	Agent - General Lines	2/25/2000	8/15/2000
Inactive	PRDC, LLC	502055	Agent - Life	4/20/2000	5/31/2004
Inactive	PRDC, LLC	502055	Agent - Health	4/20/2000	5/31/2004
Inactive	PRDC, LLC	502055	Agent - Property	8/15/2000	10/9/2003
Inactive	PRDC, LLC	502055	Agent - Casualty	8/15/2000	10/9/2003
Inactive	PRMC LLC	400204	Agent - General Lines	11/6/1999	8/15/2000
Inactive	PRMC LLC	400204	Agent - Life	10/27/1999	3/8/2001
Inactive	PRMC LLC	400204	Agent - Health	10/27/1999	3/8/2001
Inactive	PRMC LLC	400204	Agent - Property	8/15/2000	5/31/2003
Inactive	PRMC LLC	400204	Agent - Casualty	8/15/2000	5/31/2003
Inactive	PTMC, LLC	502056	Agent - General Lines	2/25/2000	8/15/2000
Inactive	PTMC, LLC	502056	Agent - Life	4/20/2000	3/8/2001
Inactive	PTMC, LLC	502056	Agent - Health	4/20/2000	3/8/2001
Inactive	PTMC, LLC	502056	Agent - Property	8/15/2000	10/9/2003
Inactive	PTMC, LLC	502056	Agent - Casualty	8/15/2000	10/9/2003
Inactive	Perennial Insurance Group LLC	398659	Agent - General Lines	11/6/1999	8/15/2000
Inactive	Perennial Insurance Group LLC	398659	Agent - Life	9/30/1999	10/29/2013
Inactive	Perennial Insurance Group LLC	398659	Agent - Health	9/30/1999	10/29/2013
Inactive	Perennial Insurance Group LLC	398659	Agent - Property	8/15/2000	10/29/2013
Inactive	Perennial Insurance Group LLC	398659	Agent - Casualty	8/15/2000	10/29/2013
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Life	10/1/1999	8/27/2010
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Health	10/1/1999	8/27/2010
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Health Maintenance Organization	10/1/1999	3/1/2001
Inactive	United Securities Alliance, Inc.	524470	Agent - Life	10/14/2002	7/20/2004
Inactive	United Securities Alliance, Inc.	524470	Agent - Health	10/14/2002	7/20/2004
Inactive	United Securities Alliance, Inc.	524470	Agent - Variable Life and Variable Annuities	10/14/2002	7/20/2004
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	3/12/2002
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	8/9/2001	2/18/2003
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Variable Life and Variable Annuities	8/9/2001	3/12/2002
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	3/12/2001	3/12/2002
Inactive	World Marketing Alliance Inc.	398156	Agent - Variable Life and Variable Annuities	4/2/2001	3/12/2002
Inactive	Worth Insurance Group INC	398245	Agent - General Lines	10/8/1980	8/15/2000
Inactive	Worth Insurance Group INC	398245	Agent - Life	10/8/1980	1/1/2016
Inactive	Worth Insurance Group INC	398245	Agent - Health	10/8/1980	1/1/2016
Inactive	Worth Insurance Group INC	398245	Agent - Property	8/15/2000	1/1/2016
Inactive	Worth Insurance Group INC	398245	Agent - Casualty	8/15/2000	1/1/2016