DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	O Brien, Sharon R	DOIID	302003	NAIC NPN	1018421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health Maintenance Organization	11/1/1996	10/15/1997
Inactive	Non Resident	Agent	Life	2/8/1995	5/24/1999
Inactive	Non Resident	Agent	Health	2/8/1995	5/24/1999
* 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	Anthem Life Insurance Company	301209	Agent - Health	2/8/1995	10/15/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/8/1995	10/15/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/8/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/8/1995	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/11/1996	10/15/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/1/1996	7/14/1997
Inactive	Humana Insurance Company	300118	Agent - Health	11/22/1996	7/14/1997
Inactive	Humana Insurance Company	300118	Agent - Life	11/22/1996	7/14/1997
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	12/31/1997	5/24/1999
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	12/31/1997	5/24/1999
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/27/1997	10/15/1997
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/27/1997	10/15/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/4/1996	10/15/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/4/1996	10/15/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	5/21/1996	10/15/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	5/21/1996	10/15/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	11/25/1996	10/15/1997
Inactive		300277	Agent - Health	2/21/1997	10/15/1997
Inactive		300277	Agent - Life	2/21/1997	10/15/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	3/7/1995	10/15/1997
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	3/7/1995	10/15/1997