DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carter, Mona Thomas	DOIID	303058	NAIC NPN	7157005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/26/1985	11/1/1994
Inactive	Resident	Agent	Casualty	4/26/1985	11/1/1994
Inactive	Resident	Agent	Property	4/26/1985	11/1/1994
Inactive	Resident	Agent	Health	4/26/1985	11/1/1994
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	11/4/1993	11/1/1994
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/6/1992	3/31/1993
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/21/1993	11/1/1994
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/21/1993	11/1/1994
Inactive	Celtic Insurance Company	300877	Agent - Health	10/22/1991	3/31/1993
Inactive	Celtic Insurance Company	300877	Agent - Life	10/22/1991	3/31/1993
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Health	4/6/1992	3/31/1993
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/20/1994	11/1/1994
Inactive	Grange Insurance Company	300234	Agent - Property	4/20/1994	11/1/1994
Inactive	Kentucky Home Mutual Life Insurance Company	300568	Agent - Health	4/7/1992	11/1/1994
Inactive	Kentucky Home Mutual Life Insurance Company	300568	Agent - Life	4/7/1992	11/1/1994
Inactive	Keystone State Life Insurance Company	301135	Agent - Life	4/7/1992	3/31/1993
Inactive	Southeastern United Medigroup Inc.	300198	Agent - Health	4/6/1992	11/1/1994
Inactive	Washington National Insurance Company	300587	Agent - Health	7/23/1991	3/31/1993
Inactive	Washington National Insurance Company	300587	Agent - Life	7/23/1991	3/31/1993

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 - Casualty	7/5/1994	11/1/1994
Inactive	Acordia of Lexington Inc.	401285	Agent - Property	7/5/1994	11/1/1994
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/19/1993	11/1/1994
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/19/1993	11/1/1994