DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Willis Giaconia Life LLC	DOIID	770200	NAIC NPN	16415793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	5/10/2012	11/1/2015
Inactive	Non Resident	Agent	Health	12/6/2011	12/17/2015
Inactive	Non Resident	Agent	Life	12/6/2011	12/17/2015
* 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	United States Life Insurance Company in the City of New York	301126	Agent - Health	7/18/2013	12/17/2015
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	7/18/2013	12/17/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rafferty, William G	687735	Agent - Health	12/6/2011	12/17/2015
Inactive	Rafferty, William G	687735	Agent - Life	12/6/2011	12/17/2015
Inactive	Schoenberg, Roger M	781114	Administrator - Not Applicable	5/10/2012	8/31/2015