DEPARTMENT OF INSURANCE

Affiliations

Name	Ruschman, Mary R	DOIID	303948	NAIC NPN	1502730

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	3/22/1991	12/28/2009
Inactive	Resident	Agent	Life	7/9/1996	3/1/2014
Inactive	Resident	Agent	Health	7/9/1996	3/1/2014
Inactive	Resident	Agent	Health Maintenance Organization	3/31/1997	3/1/2001
* 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	Aetna Health Inc.	300694	Agent - Health	12/1/2000	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	12/6/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/1/2000	12/6/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/1/2000	12/6/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/27/1997	4/9/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/27/1997	4/9/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Health	12/31/2002	9/20/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Life	12/31/2002	9/20/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/10/1996	3/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/1996	3/1/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Health	8/13/2004	12/17/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Life	8/13/2004	12/17/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/16/2005	3/1/2014
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	1/3/2006	3/27/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/3/2006	3/27/2006
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/14/2009	3/1/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/14/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/14/2009	7/2/2013
Inactive	Dental Care Plus Inc.	301495	Agent - Health	7/3/2006	2/25/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2007	3/1/2014
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	5/3/2005	4/11/2008
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	5/3/2005	4/11/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	7/6/2006	11/15/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/6/2006	11/15/2012
Inactive	First Colony Life Insurance Company	301179	Agent - Health	12/2/2004	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/2/2004	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	12/26/2003	12/23/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/3/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/3/2005	11/10/2008
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/13/2010	12/7/2011
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/13/2010	12/7/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	3/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/31/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	3/5/1998	3/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	3/5/1998	3/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004	3/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004	3/1/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/12/2008	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/12/2008	5/13/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/25/2005	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/25/2005	12/29/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/13/2008	3/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/13/2008	3/1/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/15/2008	9/24/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/15/2008	9/24/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	2/4/2009	3/1/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/4/2009	3/1/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/9/1996	3/31/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/9/1996	3/31/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/24/2003	4/6/2005
Inactive	New England Life Insurance Company	300343	Agent - Health	8/14/1996	12/29/2006
Inactive	New England Life Insurance Company	300343	Agent - Life	8/14/1996	12/29/2006
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/10/2001	10/18/2005
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/19/1998	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/19/1998	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	4/2/1997	3/1/2001
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/30/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Health	5/15/2007	3/1/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/15/2007	3/1/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Health	1/21/1999	3/1/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	1/21/1999	3/1/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/25/2007	8/21/2010
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	9/25/2007	8/21/2010
Inactive	Superior Dental Care Inc.	300418	Agent - Health	1/25/2010	3/1/2014
Inactive	Time Insurance Company	300683	Agent - Health	6/30/1999	10/17/2011
Inactive	Time Insurance Company	300683	Agent - Life	6/30/1999	10/17/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	4/25/2009	2/12/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/25/2009	2/12/2014
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/23/2004	10/4/2007
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	8/26/2004	4/22/2011
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	8/26/2004	4/22/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/6/2009	4/16/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/6/2009	4/16/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/2/2004	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/2/2004	12/14/2009
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/28/2004	6/20/2006
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/28/2004	6/20/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/2/2004	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/1/2001	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health Maintenance Organization	11/24/1997	3/1/2001
Inactive	West Coast Life Insurance Company	301607	Agent - Health	10/6/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/6/2008	11/16/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	11/6/2007	1/29/2013
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	11/6/2007	1/29/2013
Inactive		300277	Agent - Life	6/4/2003	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	1/12/2004	3/1/2014
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	1/12/2004	3/1/2014
Inactive	Community Mutual Insurance Company	395804	Administrator - Not Applicable	3/22/1991	6/7/1996
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	6/29/2005	11/8/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	3/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	3/1/2014
Inactive	Public Entity Insurance, Inc.	398396	Agent - Life	9/5/1996	10/5/2011
Inactive	Public Entity Insurance, Inc.	398396	Agent - Health	9/5/1996	10/5/2011