DEPARTMENT OF INSURANCE

Affiliations

Name	Bellamy, Gregory Scott	DOIID	303093	NAIC NPN	1495088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	10/19/2022		7/31/2026
Active	Resident	Agent	Casualty	10/19/2022		7/31/2026
Active	Resident	Agent	Property	10/19/2022		7/31/2026
Active	Resident	Agent	Life	10/19/2022		7/31/2026
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	Variable Life and Variable Annuities	4/24/2002	8/1/2022
Inactive	Resident	Agent	General Lines	7/19/1990	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Addison Insurance Company	874810	Agent - Casualty	4/7/2025
Active	Addison Insurance Company	874810	Agent - Property	4/7/2025
Active	All Savers Insurance Company	301940	Agent - Health	7/1/2024
Active	All Savers Insurance Company	301940	Agent - Life	7/1/2024
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	4/23/2024	5/28/2024
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	3/30/1993	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	4/23/2024	5/28/2024
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	8/1/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	8/1/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/29/1999	2/26/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/29/1999	2/26/2003
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	7/25/2014	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	7/25/2014	10/15/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	5/14/2003	10/20/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	5/14/2003	10/20/2011
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	5/14/2003	10/20/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	5/13/1988	2/8/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	5/13/1988	2/8/2002
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	3/10/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	3/10/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	3/10/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	3/10/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	3/10/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	3/10/2015	11/14/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/20/2020	8/1/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/20/2020	8/1/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/20/2020	8/1/2022
Inactive	Assurance Company of America	300432	Agent - Casualty	6/14/2004	4/5/2010
Inactive	Assurance Company of America	300432	Agent - Property	6/14/2004	4/5/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/17/1998	12/17/2001
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/17/1998	12/17/2001
Active	Banner Life Insurance Company	301696	Agent - Life	3/8/2023
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	7/24/2023
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	7/24/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/2/2018	11/25/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/2/2018	11/25/2019
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	10/21/2022
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	10/21/2022
Active	CSAA General Insurance Company	606675	Agent - Casualty	10/21/2022
Active	CSAA General Insurance Company	606675	Agent - Property	10/21/2022
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	12/11/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/11/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/9/1998	12/4/2001
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/9/1998	12/4/2001
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	4/5/1993	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	4/5/1993	3/31/1997
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/26/2016	4/15/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/26/2016	4/15/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/25/2014	8/1/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/25/2014	8/1/2022
Active	Continental Casualty Company	301019	Agent - Casualty	3/14/2024
Inactive	Continental Casualty Company	301019	Agent - General Lines	7/19/1990	8/15/2000
Active	Continental Casualty Company	301019	Agent - Property	3/14/2024
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	4/21/2024	5/28/2024
Inactive	Continental Insurance Company (The)	301242	Agent - Property	4/21/2024	5/28/2024
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Casualty	5/7/2018	8/1/2022
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Property	5/7/2018	8/1/2022
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	11/29/2001	9/29/2004
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	11/29/2001	9/29/2004
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	4/24/2002	9/29/2004
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	10/15/2015	11/20/2015
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	10/15/2015	11/20/2015
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	2/26/2009	8/29/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	2/26/2009	8/29/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/15/2015	11/20/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/15/2015	11/20/2015
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	11/2/1998	12/4/2001
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/2/1998	12/4/2001
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/19/1998	3/12/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/8/2009	11/25/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/8/2009	11/25/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/15/2012	5/8/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/15/2012	5/8/2019
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/15/2012	5/8/2019
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/15/2012	5/8/2019
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	3/10/2004	9/11/2017
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	3/10/2004	9/11/2017
Inactive	Fremont Compensation Insurance Company	301757	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Fremont Compensation Insurance Company	301757	Agent - General Lines	12/1/1999	8/15/2000
Inactive	Fremont Compensation Insurance Company	301757	Agent - Property	8/15/2000	3/31/2002
Inactive	Fremont Indemnity Company	300162	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Fremont Indemnity Company	300162	Agent - General Lines	12/1/1999	8/15/2000
Inactive	Fremont Indemnity Company	300162	Agent - Property	8/15/2000	3/31/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/1/2002	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/1/2002	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/15/2010	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	7/1/2015	12/14/2016
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	6/14/2004	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	6/14/2004	11/30/2007
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/2/2014	8/1/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	9/2/2014	8/1/2022
Inactive	Grange Insurance Company	300234	Agent - Casualty	9/2/2014	8/1/2022
Inactive	Grange Insurance Company	300234	Agent - Property	9/2/2014	8/1/2022
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/2/2014	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/2/2014	12/28/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/2/2014	8/1/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/2/2014	8/1/2022
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	1/25/2024
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	1/25/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Health	1/25/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Life	1/25/2024
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/4/2023
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	7/4/2023
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/20/2020	8/1/2022
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/20/2020	8/1/2022
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	10/19/2022
Active	Hartford Fire Insurance Company	300628	Agent - Health	10/19/2022
Active	Hartford Fire Insurance Company	300628	Agent - Property	10/19/2022
Active	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	10/19/2022
Active	Hartford Insurance Company of Illinois	1014405	Agent - Property	10/19/2022
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	5/2/2016	12/13/2017
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	5/2/2016	12/13/2017
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	11/16/2023
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Property	11/16/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/1/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	6/1/2023
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/5/1998	7/20/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/5/1998	7/20/2000
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/25/2014	8/1/2022
Inactive	Indiana Insurance Company	301909	Agent - Property	7/25/2014	8/1/2022
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	3/15/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	3/15/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	3/15/2004	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	3/15/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/15/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	3/15/2004	4/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/24/1994	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/24/1994	3/31/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/18/2002	6/7/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	8/19/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	8/19/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/22/2007	8/19/2009
Inactive	MONY Life Insurance Company	301141	Agent - Health	11/29/2001	9/29/2004
Inactive	MONY Life Insurance Company	301141	Agent - Life	11/29/2001	9/29/2004
Inactive	Maryland Casualty Company	301719	Agent - Casualty	6/14/2004	4/5/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	6/14/2004	4/5/2010
Inactive	Medical Protective Company (The)	301207	Agent - Casualty	2/7/2003	8/1/2022
Inactive	Medical Protective Company (The)	301207	Agent - Property	2/7/2003	8/1/2022
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	10/11/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	7/19/1990	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	10/11/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/25/2014	8/1/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/25/2014	8/1/2022
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	6/14/2004	4/5/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	6/14/2004	4/5/2010
Inactive	Nutmeg Insurance Company	751698	Agent - Casualty	7/25/2021	8/1/2022
Inactive	Nutmeg Insurance Company	751698	Agent - Property	7/25/2021	8/1/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/9/2023
Active	Ohio Casualty Insurance Company	301492	Agent - Property	7/9/2023
Active	Ohio Security Insurance Company	300622	Agent - Casualty	3/24/2023
Active	Ohio Security Insurance Company	300622	Agent - Property	3/24/2023
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	3/10/1997	1/16/2002
Inactive	Pacific Life Insurance Company	301848	Agent - Life	3/1/2022	8/1/2022
Inactive	Pan-American Assurance Company	301533	Agent - Health	10/19/2004	5/2/2005
Inactive	Pan-American Assurance Company	301533	Agent - Life	10/19/2004	5/2/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	10/19/2004	5/2/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	10/19/2004	5/2/2005
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/25/2014	8/1/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	7/25/2014	8/1/2022
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/25/2014	8/1/2022
Inactive	Peerless Insurance Company	301910	Agent - Property	7/25/2014	8/1/2022
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	5/23/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/23/1997	5/23/2005
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	11/14/2023
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	11/14/2023
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	11/14/2023
Inactive	Principal Life Insurance Company	300129	Agent - Health	5/25/1988	8/1/2022
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/25/1988	8/1/2022
Active	Principal National Life Insurance Company	301926	Agent - Life	12/5/2022
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	7/6/2023
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	7/6/2023
Active	Protective Life Insurance Company	300638	Agent - Health	1/2/2023
Active	Protective Life Insurance Company	300638	Agent - Life	1/2/2023
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	7/5/2018	11/23/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	1/8/2025
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	1/8/2025
Inactive	Pruco Life Insurance Company	300954	Agent - Health	9/21/2011	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/3/2023	12/23/2024
Inactive	RLI Insurance Company	301217	Agent - Casualty	8/15/2000	3/10/2004
Inactive	RLI Insurance Company	301217	Agent - General Lines	11/26/1990	8/15/2000
Inactive	RLI Insurance Company	301217	Agent - Property	8/15/2000	3/10/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/18/1994	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/18/1994	1/3/2003
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	8/13/2018	8/1/2022
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	8/13/2018	8/1/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/31/2015	8/1/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/31/2015	8/1/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/31/2015	8/1/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/31/2015	8/1/2022
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	12/24/2023
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	12/24/2023
Inactive	Service American Indemnity Company	301191	Agent - Casualty	12/8/2000	1/30/2004
Inactive	Service American Indemnity Company	301191	Agent - Property	12/8/2000	1/30/2004
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	2/18/2002	5/13/2015
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	2/18/2002	5/13/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	2/18/2002	5/13/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	2/18/2002	5/13/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	2/18/2002	5/13/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	2/18/2002	5/13/2015
Active	Standard Insurance Company	300185	Agent - Health	2/22/2024
Active	Standard Insurance Company	300185	Agent - Life	2/22/2024
Active	Starmount Life Insurance Company	628031	Agent - Health	1/8/2025
Inactive	Time Insurance Company	300683	Agent - Health	3/27/1989	11/14/2001
Inactive	Time Insurance Company	300683	Agent - Life	3/27/1989	11/14/2001
Inactive	Transamerica Assurance Company	300893	Agent - Health	10/5/1999	10/5/1999
Inactive	Transamerica Assurance Company	300893	Agent - Life	10/5/1999	10/5/1999
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/14/2022	9/16/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/14/2022	9/16/2024
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	10/5/1999	12/7/2001
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	10/5/1999	12/7/2001
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	10/5/1999	12/7/2001
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	12/17/2002
Inactive	Transportation Insurance Company	301575	Agent - General Lines	7/29/1997	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	12/29/2004
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	2/26/2009	8/29/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	2/26/2009	8/29/2012
Active	Trumbull Insurance Company	300242	Agent - Casualty	10/23/2022
Active	Trumbull Insurance Company	300242	Agent - Property	10/23/2022
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	9/2/2014	8/1/2022
Inactive	Trustgard Insurance Company	300104	Agent - Property	9/2/2014	8/1/2022
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	1/16/2025
Active	Twin City Fire Insurance Company	300721	Agent - Property	1/16/2025
Active	UNUM Life Insurance Company of America	300817	Agent - Health	1/8/2025
Active	UNUM Life Insurance Company of America	300817	Agent - Life	1/8/2025
Inactive	Union Security Insurance Company	301844	Agent - Health	8/2/1994	12/31/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	8/2/1994	12/31/2000
Active	United Fire & Casualty Company	301374	Agent - Casualty	4/7/2025
Active	United Fire & Casualty Company	301374	Agent - Property	4/7/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/1/2024	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/1/2024	12/17/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	2/18/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/10/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/10/1996	3/31/1997
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/1/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/1/2024	12/17/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/20/2019	2/18/2022
Active	Unum Insurance Company	301499	Agent - Health	1/8/2025
Active	Unum Insurance Company	301499	Agent - Life	1/8/2025
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	4/23/2024	5/28/2024
Inactive	Valley Forge Insurance Company	301052	Agent - Property	4/23/2024	5/28/2024
Inactive	West American Insurance Company	301112	Agent - Casualty	7/25/2014	8/1/2022
Inactive	West American Insurance Company	301112	Agent - Property	7/25/2014	8/1/2022
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/8/2006	11/16/2011
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/13/2002	11/21/2007
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/18/1994	12/30/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/18/1994	12/30/2004
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	7/22/1996	6/28/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	7/22/1996	6/28/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	D & L's LLC	401112	Agent - Health	12/13/2002	2/28/2005
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/20/2020	8/18/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/20/2020	8/18/2020
Inactive	National Insurance Agency Inc.	401234	Agent - Life	1/4/2002	3/31/2021
Inactive	National Insurance Agency Inc.	401234	Agent - Health	1/4/2002	3/31/2021
Active	Professional Insurance Plans, Inc.	663186	Agent - Life	11/14/2022
Active	Professional Insurance Plans, Inc.	663186	Agent - Health	11/16/2022
Active	Professional Insurance Plans, Inc.	663186	Agent - Property	11/16/2022
Active	Professional Insurance Plans, Inc.	663186	Agent - Casualty	11/16/2022
Inactive	Professional Insurance Plans, LLC	568693	Agent - Property	1/16/2004	3/31/2009
Inactive	Professional Insurance Plans, LLC	568693	Agent - Casualty	6/14/2004	3/31/2009