DEPARTMENT OF INSURANCE

Affiliations

Name	Blanton, David Deron	DOIID	384164	NAIC NPN	7206402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	9/12/1995	7/1/2002
Inactive	Resident	Agent	Property	8/27/1997	5/27/1998
Inactive	Resident	Agent	Health	8/31/1995	7/1/2002
* 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	American General Life and Accident Insurance Company	301362	Agent - Health	6/3/1997	5/27/1998
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/3/1997	5/27/1998
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	7/1/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	7/1/2002
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	1/29/1997	7/1/2002
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/29/1997	12/26/2001
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/6/1996	3/31/1997
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/6/1996	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/25/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/25/1995	3/31/1997
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	2/22/1996	4/9/2001
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	2/22/1996	4/9/2001
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	9/12/1995	12/30/1998
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	9/12/1995	12/30/1998
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	10/17/1995	1/23/1997
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	10/17/1995	1/23/1997
Inactive	Oakwood Insurance Company	300453	Agent - Property	8/27/1997	5/27/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	10/17/1997	7/1/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	10/17/1997	7/1/2002
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	10/3/1995	3/31/1999
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	10/3/1995	3/31/1999
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	10/11/1995	12/29/1998
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	10/11/1995	12/29/1998
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	1/29/1996	3/31/1997
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	1/29/1996	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997