DEPARTMENT OF INSURANCE
Affiliations
NameICL&H, IncDOIID514100NAIC NPN2110834
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth2/25/20023/31/2008 
InactiveNon ResidentAgentLife2/25/20023/31/2008 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveChase Insurance Life and Annuity Company300518Agent - Health2/25/20024/9/2004
InactiveChase Insurance Life and Annuity Company300518Agent - Life2/25/20024/9/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/25/200211/21/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/25/200211/21/2006
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGreen, Joe Max 308878Agent - Health2/25/20023/31/2008
InactiveGreen, Joe Max 308878Agent - Life2/25/20023/31/2008
InactiveWalters, James Allen 511143Agent - Health2/25/20022/24/2003
InactiveWalters, James Allen 511143Agent - Life2/25/20022/24/2003

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