DEPARTMENT OF INSURANCE

Affiliations

Name	Watts, Tricia Lynn	DOIID	303941	NAIC NPN	7157382

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/10/2002	10/12/2010
Inactive	Resident	Agent	Life	6/11/2002	10/12/2010
Inactive	Resident	Agent	Casualty	8/15/2000	12/13/2010
Inactive	Resident	Agent	Property	8/15/2000	12/13/2010
Inactive	Resident	Agent	General Lines	5/4/1999	8/15/2000
* 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	American Family Home Insurance Company	301817	Agent - Casualty	4/14/2003	7/9/2008
Inactive	American Family Home Insurance Company	301817	Agent - Property	4/14/2003	7/9/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	5/21/2008	7/9/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/21/2008	7/9/2008
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/21/2008	7/9/2008
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/21/2008	7/9/2008
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/21/2007	7/9/2008
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/21/2007	7/9/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/15/2008	7/9/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/15/2008	7/9/2008
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/25/2003	7/9/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/17/2007	10/12/2010
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/11/2002	10/26/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	12/13/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	5/4/1999	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	12/13/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/19/2006	10/12/2010
Inactive	Humana Insurance Company	301104	Agent - Health	1/19/2006	10/12/2010
Inactive	Humana Insurance Company	301104	Agent - Life	1/19/2006	10/12/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/19/2006	10/12/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/19/2006	10/12/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/19/2006	10/12/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/19/2006	10/12/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/26/2008	10/12/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/26/2008	10/12/2010
Inactive	National Summit Insurance Company	300348	Agent - Casualty	1/18/2010	10/15/2010
Inactive	National Summit Insurance Company	300348	Agent - Property	1/18/2010	10/15/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/30/2008	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/30/2008	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	10/12/2010
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	10/12/2010
Inactive	Medlink Inc	400721	Agent - Life	5/14/2008	10/12/2010
Inactive	Medlink Inc	400721	Agent - Health	5/14/2008	10/12/2010