DEPARTMENT OF INSURANCE

Affiliations

Name	CBC Insurance Revenue Securitization, LLC	DOIID	563273	NAIC NPN	7371933

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/3/2003	3/31/2027
Active	Non Resident	Agent	Health	7/3/2003	3/31/2027
* 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	C.M. Life Insurance Company	301335	Agent - Health	11/18/2003	11/16/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/18/2003	11/16/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/23/2003	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	7/23/2003	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	8/31/2018
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	8/31/2018
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	7/23/2003	2/23/2009
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	7/3/2003	9/24/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	7/3/2003	6/19/2008
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/15/2006	11/16/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	5/15/2006	11/16/2012
Active	Nationwide Life Insurance Company	300495	Agent - Health	3/30/2017
Active	Nationwide Life Insurance Company	300495	Agent - Life	3/30/2017
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	3/31/2017
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/31/2017
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	1/23/2004	10/2/2005
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	1/23/2004	10/2/2005
Inactive	Transamerica Assurance Company	300893	Agent - Health	7/17/2003	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	7/17/2003	10/1/2004
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2004
Active	Transamerica Life Insurance Company	300571	Agent - Life	7/22/2003
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	7/22/2003	6/20/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ballou, Kevin	522771	Agent - Health	5/5/2010	9/30/2012
Inactive	Ballou, Kevin	522771	Agent - Life	5/5/2010	9/30/2012
Inactive	Cook, Traci	721883	Agent - Health	3/24/2011	2/3/2017
Inactive	Cook, Traci	721883	Agent - Life	3/24/2011	2/3/2017
Active	Cox, Joanna B	673862	Agent - Health	1/20/2017
Active	Cox, Joanna B	673862	Agent - Life	1/20/2017
Inactive	Huerta, Carlos Alberto	602003	Agent - Health	4/12/2007	5/5/2010
Inactive	Huerta, Carlos Alberto	602003	Agent - Life	4/12/2007	5/5/2010
Inactive	Parker, Christopher Lee	524223	Agent - Health	4/12/2007	4/12/2007
Inactive	Parker, Christopher Lee	524223	Agent - Life	4/12/2007	4/12/2007