DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	American Insurance Marketing, Corp	DOIID	590891	NAIC NPN	2763120

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/7/2004	3/31/2012
Inactive	Non Resident	Agent	Life	6/7/2004	3/31/2012
* 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	Lincoln Heritage Life Insurance Company	500016	Agent - Health	9/30/2010	3/31/2012
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	9/30/2010	3/31/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/7/2004	3/17/2011
Inactive	United World Life Insurance Company	300532	Agent - Health	11/15/2005	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/7/2004	3/17/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/7/2004	3/17/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wallace, James W	505411	Agent - Health	1/15/2009	3/31/2012
Inactive	Wallace, James W	505411	Agent - Life	1/15/2009	3/31/2012
Inactive	White, Michael Anthony	343005	Agent - Health	6/7/2004	1/15/2009
Inactive	White, Michael Anthony	343005	Agent - Life	6/7/2004	1/15/2009