DEPARTMENT OF INSURANCE

Affiliations

Name	Masterson, Gary Dean	DOIID	305675	NAIC NPN	7158137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	11/15/1994	8/15/2000
Inactive	Resident	Agent	Life	1/24/1995	12/11/2002
Inactive	Resident	Agent	Health	1/24/1995	10/29/2002
Inactive	Resident	Agent	Health Maintenance Organization	1/2/1997	3/1/2001
Inactive	Resident	Agent	Casualty	8/15/2000	12/11/2002
* 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	9/17/1996	12/11/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/17/1996	12/11/2002
Inactive	Assurance Company of America	300432	Agent - General Lines	12/13/1995	3/31/1996
Inactive	Continental Casualty Company	301019	Agent - Health	4/1/1997	10/29/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/11/1996	12/11/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/31/1996	11/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/31/1996	11/12/1998
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	10/29/1997	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - General Lines	11/15/1994	8/15/2000
Inactive	Grange Life Insurance Company	300128	Agent - Health	1/24/1995	10/19/2000
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/24/1995	10/19/2000
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	12/11/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	1/24/1995	8/15/2000
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/19/1996	8/7/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/19/1996	8/7/1997
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	10/9/1996	8/7/1997
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	12/5/1994	12/14/1998
Inactive	Maryland Casualty Company	301719	Agent - General Lines	12/13/1995	3/31/1996
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	3/13/1995	3/1/1999
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	3/13/1995	3/1/1999
Inactive	Time Insurance Company	300683	Agent - Health	2/24/1995	12/15/2000
Inactive	Time Insurance Company	300683	Agent - Life	2/24/1995	12/15/2000
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/22/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/22/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arison Insurance Services, Inc.	401001	Agent - Health
Denied	Arison Insurance Services, Inc.	401001	Agent - Life
Inactive	Culver Ins Agency Inc	398892	Agent - Health	1/2/1997	10/29/2002
Inactive	Culver Ins Agency Inc	398892	Agent - General Lines	1/2/1997	8/15/2000
Inactive	Culver Ins Agency Inc	398892	Agent - Life	1/2/1997	12/11/2002
Inactive	Culver Ins Agency Inc	398892	Agent - Health Maintenance Organization	1/2/1997	3/1/2001
Inactive	Culver Ins Agency Inc	398892	Agent - Casualty	8/15/2000	12/11/2002
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997