DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chase Insurance Direct Inc	DOIID	524009	NAIC NPN	661854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/5/2001	3/31/2007
Inactive	Non Resident	Agent	Health	4/5/2001	5/15/2006
* 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 Insurance Company	301585	Agent - Life	11/16/2006	3/31/2007
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/29/2001	2/26/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/29/2001	2/26/2003
Inactive	Balboa Life Insurance Company	301327	Agent - Health	12/10/2004	7/7/2005
Inactive	Balboa Life Insurance Company	301327	Agent - Life	12/10/2004	7/7/2005
Inactive	Chase Insurance Life Company	301287	Agent - Health	4/5/2001	5/15/2006
Inactive	Chase Insurance Life Company	301287	Agent - Life	4/5/2001	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/22/2002	4/1/2007
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	5/25/2001	3/31/2007
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	5/14/2004	5/15/2006
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	5/14/2004	11/16/2006
Denied	Protective Life Insurance Company	300638	Agent - Life
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/29/2001	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/29/2001	11/10/2004
Inactive	West Coast Life Insurance Company	301607	Agent - Life	7/28/2006	2/15/2007
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	6/26/2001	3/31/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Goodyear, Michael Clark	380106	Agent - Health	4/5/2001	10/12/2005
Inactive	Goodyear, Michael Clark	380106	Agent - Life	4/5/2001	10/12/2005
Inactive	McIntyre, John Christopher	312980	Agent - Health	10/12/2005	5/10/2006
Inactive	McIntyre, John Christopher	312980	Agent - Life	10/12/2005	3/31/2007