DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Reynolds, Ben R	DOIID	383564	NAIC NPN	646355

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/31/1995	8/31/2003
Inactive	Non Resident	Agent	Health	5/31/1995	8/31/2003
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	8/2/2002	8/31/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/2/2002	8/31/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Health	5/31/1995	11/5/2001
Inactive	Liberty Life Insurance Company	301542	Agent - Life	5/31/1995	11/5/2001
Inactive	LifeUSA Insurance Company	300386	Agent - Health	1/21/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	1/21/1998	8/2/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	RBC U.S. Insurance Services, Inc	399058	Agent - Life	6/26/1995	3/4/1999
Inactive	RBC U.S. Insurance Services, Inc	399058	Agent - Health	6/26/1995	3/4/1999