DEPARTMENT OF INSURANCE

Affiliations

Name	Kohn, David L	DOIID	359537	NAIC NPN	7195677

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/16/1992	12/1/2000
Inactive	Resident	Agent	Health	7/16/1992	12/1/2000
* 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	Anthem Life Insurance Company	301209	Agent - Health	8/15/1995	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/15/1995	6/7/2000
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/29/1998	8/31/2000
Inactive	C.M. Life Insurance Company	301335	Agent - Health	8/18/1997	8/31/2000
Inactive	C.M. Life Insurance Company	301335	Agent - Life	8/18/1997	8/31/2000
Inactive	Canada Life Assurance Company	301192	Agent - Life	9/26/1998	8/31/2000
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/14/1998	7/22/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/14/1998	7/22/1999
Inactive	Continental Casualty Company	301019	Agent - Health	10/13/1999	12/1/2000
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	6/29/1999	2/23/2000
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	11/14/1998	7/22/1999
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/14/1998	7/22/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/12/1996	8/31/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/3/1993	3/20/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/3/1993	3/20/1998
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/3/1997	12/14/1998
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/3/1997	12/14/1998
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	2/13/1998	12/14/1998
Inactive	MONY Life Insurance Company	301141	Agent - Health	6/29/1999	2/23/2000
Inactive	MONY Life Insurance Company	301141	Agent - Life	6/29/1999	2/23/2000
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	8/18/1997	8/31/2000
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/18/1997	8/31/2000
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	8/29/1997	12/1/2000
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	8/29/1997	12/1/2000
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	5/9/1994	1/8/1998
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	5/9/1994	1/8/1998
Inactive	Nassau Life Insurance Company	301406	Agent - Health	8/21/1998	12/1/2000
Inactive	Nassau Life Insurance Company	301406	Agent - Life	8/21/1998	12/1/2000
Inactive	New York Life Insurance Company	300431	Agent - Health	7/16/1992	1/8/1998
Inactive	New York Life Insurance Company	300431	Agent - Life	7/16/1992	1/8/1998
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	7/16/1992	1/8/1998
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	7/16/1992	1/8/1998
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/9/1998	8/31/2000
Inactive	PHL Variable Insurance Company	300525	Agent - Health	10/27/1998	12/1/2000
Inactive	PHL Variable Insurance Company	300525	Agent - Life	10/27/1998	12/1/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/31/1997	12/1/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/31/1995	3/31/1997
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	11/15/1999	8/31/2000
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	11/15/1999	8/31/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/16/1993	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/16/1993	12/1/2000
Inactive	Prudential Insurance Company of America	300784	Agent - Health	4/21/1998	12/1/2000
Inactive	Prudential Insurance Company of America	300784	Agent - Life	4/21/1998	12/1/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	6/3/1997	8/31/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	6/3/1997	8/31/2000
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Health	6/9/1997	12/31/1998
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Life	6/9/1997	12/31/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	3/30/1998	8/31/2000
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	3/30/1998	8/31/2000
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/18/1998	12/1/2000
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/18/1998	12/1/2000
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	11/19/1997	12/1/2000
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	11/19/1997	12/1/2000
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/13/1997	8/31/2000
Inactive		300277	Agent - Health	4/13/1998	8/31/2000
Inactive		300277	Agent - Life	4/13/1998	8/31/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	8/8/1995	12/1/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	8/8/1995	12/1/2000