DEPARTMENT OF INSURANCE

Affiliations

Name	Hagan, Samuel H	DOIID	306511	NAIC NPN	7158504

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/29/1983	7/1/2002
Inactive	Resident	Agent	Life	6/29/1983	7/1/2002
Inactive	Resident	Agent	General Lines	1/1/1982	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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/10/1996	8/14/1997
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/10/1996	8/14/1997
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	11/5/1992	3/31/1998
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	5/6/1997	8/15/2000
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	4/7/1994	12/23/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	4/7/1994	12/23/1996
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/3/1994	7/1/2002
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/3/1994	7/1/2002
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	5/6/1997	8/15/2000
Inactive	Continental General Insurance Company	300691	Agent - Health	6/7/1990	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	6/7/1990	3/31/1997
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - General Lines	1/1/1982	3/31/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/4/1984	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/4/1984	3/31/1997
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	11/12/1997	10/11/1999
Inactive	Grange Insurance Company	300234	Agent - General Lines	5/15/1992	10/11/1999
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/12/1992	10/11/1999
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/12/1992	10/11/1999
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	6/29/1983	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	6/29/1983	9/8/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	4/23/1982	3/31/1996
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	4/23/1982	3/31/1996
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	4/23/1982	3/31/1996
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/9/1986	3/31/1996
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/22/1989	3/31/1996
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	3/20/2001
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	3/20/2001
Inactive	Kentucky Association of Counties - All Lines Fund	300006	Agent - General Lines	9/28/1998	12/28/1999
Inactive	LifeUSA Insurance Company	300386	Agent - Health	5/10/1996	8/14/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Life	5/10/1996	8/14/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/11/1995	7/1/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/11/1995	7/1/2002
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	6/29/1983	10/25/1999
Inactive	Omni Insurance Company	301545	Agent - General Lines	12/22/1987	3/31/1998
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	5/15/1997	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	5/6/1997	8/15/2000
Inactive	Time Insurance Company	300683	Agent - Health	2/28/1994	11/23/1998
Inactive	Time Insurance Company	300683	Agent - Life	2/28/1994	11/23/1998
Inactive	TravCo Insurance Company	301828	Agent - General Lines	5/6/1997	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	5/6/1997	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	5/6/1997	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	4/23/1982	3/31/1996
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/27/1995	7/1/2002
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/27/1995	7/1/2002
Inactive	Westfield Insurance Company	301950	Agent - General Lines	6/29/1983	10/25/1999
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	6/5/1985	10/25/1999

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	6/25/1996	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	7/1/2002
Inactive	Rowland Insurance Agency Inc.	401077	Agent - Life	3/9/1994	9/30/1999
Inactive	Rowland Insurance Agency Inc.	401077	Agent - Health	3/9/1994	9/30/1999
Inactive	Rowland Insurance Agency Inc.	401077	Agent - General Lines	3/9/1994	9/30/1999