DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Jimmie L	DOIID	306567	NAIC NPN	1492821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	9/1/2015
Inactive	Resident	Agent	General Lines	8/28/1995	8/15/2000
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	9/1/2015
Inactive	Resident	Agent	Health	1/31/1995	9/1/2015
Inactive	Resident	Agent	Property	8/15/2000	9/1/2015
Inactive	Resident	Agent	Life	1/31/1995	9/1/2015
* 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
Inactive	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	9/28/2010
Inactive	AIG Assurance Company	300897	Agent - General Lines	5/14/1997	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	9/28/2010
Inactive	Alexander Hamilton Life Insurance Co. of America	301779	Agent - Life	8/26/1999	8/1/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/10/1996	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/10/1996	11/22/2007
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Casualty	5/28/2002	7/10/2003
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Property	5/28/2002	7/10/2003
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/28/2002	11/13/2013
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Health	5/28/2002	8/28/2009
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/28/2002	11/13/2013
Inactive	American Benefit Life Insurance Company	301002	Agent - Life	8/21/1995	6/12/1998
Inactive	American Fidelity Assurance Company	301004	Agent - Health	10/27/1997	12/31/1998
Inactive	American Fidelity Assurance Company	301004	Agent - Life	10/27/1997	12/31/1998
Inactive	American General Life Insurance Company	301585	Agent - Health	4/19/2004	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	4/19/2004	10/25/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/18/2005	9/1/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/18/2005	9/1/2015
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	4/28/2006	3/15/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	4/28/2006	3/15/2010
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	9/12/2006	12/12/2007
Inactive	American Reliable Insurance Company	301889	Agent - Property	9/12/2006	12/12/2007
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	12/8/2014	9/1/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	12/8/2014	9/1/2015
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/30/2014	9/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/29/2012	9/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/29/2012	9/1/2015
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	12/17/2014
Inactive	Assurance Company of America	300432	Agent - General Lines	4/12/1996	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	12/17/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Health	4/30/2014	9/1/2015
Inactive	Assurity Life Insurance Company	301099	Agent - Life	4/30/2014	9/1/2015
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	11/27/2006	4/1/2008
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	11/27/2006	4/1/2008
Inactive	Augustar Life Insurance Company	301816	Agent - Health	11/27/2006	4/1/2008
Inactive	Augustar Life Insurance Company	301816	Agent - Life	11/27/2006	4/1/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	10/18/2011
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	10/18/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	11/2/1999	10/14/2003
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/27/2006	9/1/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/27/2006	9/1/2015
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	3/14/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	3/14/1996	3/31/1997
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	1/14/2015	9/1/2015
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	10/18/2011
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	3/20/1997	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	10/18/2011
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	7/14/1998	7/6/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	7/14/1998	7/6/1999
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	10/23/1995	12/31/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	10/23/1995	12/31/1998
Inactive	Columbian Life Insurance Company	300810	Agent - Health	10/4/2004	10/28/2005
Inactive	Columbian Life Insurance Company	300810	Agent - Life	10/4/2004	10/28/2005
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/14/2014	9/1/2015
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	6/26/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	6/26/2003
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/7/2010	5/10/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/7/2010	5/10/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/13/2010	9/1/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/13/2010	9/1/2015
Inactive	Delaware Life Insurance Company	301256	Agent - Life	6/21/1999	3/13/2003
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/14/2014	9/1/2015
Inactive	Encova Life Insurance Company	301818	Agent - Health	6/26/2000	9/1/2015
Inactive	Encova Life Insurance Company	301818	Agent - Life	6/26/2000	1/14/2015
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Health	11/17/1997	1/1/2004
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	11/17/1997	6/10/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	12/17/2003
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	9/24/1998	8/15/2000
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	6/24/2011	12/30/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	6/24/2011	12/30/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	6/24/2011	9/1/2015
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	6/24/2011	9/1/2015
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	10/25/2005	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	10/25/2005	8/22/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/24/2011	9/1/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	5/30/1996	8/15/2000
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/24/2011	9/1/2015
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/14/2002	12/20/2012
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	7/2/1998	7/6/1999
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	7/2/1998	7/6/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/27/1996	6/7/2003
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/27/1996	6/7/2003
Inactive	First National Insurance Company of America	301690	Agent - Casualty	12/7/2010	5/10/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	12/7/2010	5/10/2011
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/29/1997	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/29/1997	12/26/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/25/2005	9/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/25/2005	9/1/2015
Inactive	Forethought Life Insurance Company	301407	Agent - Health	7/3/2012	11/3/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	7/3/2012	11/3/2014
Inactive	General American Life Insurance Company	300280	Agent - Health	9/25/2006	3/18/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	9/25/2006	3/18/2009
Inactive	General Insurance Company of America	300261	Agent - Casualty	12/7/2010	5/10/2011
Inactive	General Insurance Company of America	300261	Agent - Property	12/7/2010	5/10/2011
Inactive	General Life Insurance Company	300652	Agent - Life	2/19/2001	7/1/2002
Inactive	Generali - U.S. Branch	301128	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Generali - U.S. Branch	301128	Agent - General Lines	8/28/1996	8/15/2000
Inactive	Generali - U.S. Branch	301128	Agent - Property	8/15/2000	3/31/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/5/2008	9/24/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/5/2008	9/24/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/20/2012	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/20/2012	1/7/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/7/2014	9/1/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/7/2014	9/1/2015
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2000	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	4/12/1996	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/14/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/14/1995	3/31/1997
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/9/2013	9/1/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/9/2013	9/1/2015
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/9/2013	9/1/2015
Inactive	Grange Insurance Company	300234	Agent - Property	5/9/2013	9/1/2015
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/9/2013	9/1/2015
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/9/2013	9/1/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	5/9/2013	9/1/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	5/9/2013	9/1/2015
Inactive	Granite State Insurance Company	300818	Agent - Casualty	8/15/2000	9/28/2010
Inactive	Granite State Insurance Company	300818	Agent - General Lines	6/23/2000	8/15/2000
Inactive	Granite State Insurance Company	300818	Agent - Property	8/15/2000	9/28/2010
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	8/28/1995	7/13/1998
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/15/2000	10/8/2001
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	5/15/2000	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/15/2000	10/8/2001
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	8/28/1995	8/7/1997
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	8/28/1995	8/7/1997
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000	10/8/2001
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	8/28/1995	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000	10/8/2001
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/19/2014	9/1/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/19/2014	9/1/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	3/13/2006
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/14/2014	9/1/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/14/2014	9/1/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/14/2014	9/1/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/14/2014	9/1/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/14/2014	9/1/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/14/2014	9/1/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/14/2014	9/1/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/14/2014	9/1/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/31/1995	2/12/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/31/1995	2/12/2009
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	7/9/2003	9/28/2010
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	5/14/1997	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	7/9/2003	9/28/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/7/2010	5/10/2011
Inactive	Indiana Insurance Company	301909	Agent - Property	12/7/2010	5/10/2011
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	12/17/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	9/24/1998	8/15/2000
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	10/9/1995	8/15/2000
Inactive	Infinity Select Insurance Company	300169	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	6/7/1996	8/15/2000
Inactive	Inter-State Assurance Company	301556	Agent - Life	1/10/2000	3/4/2002
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	11/8/1995	8/21/1997
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/8/1995	8/21/1997
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	11/2/1998	7/11/2002
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	11/2/1998	7/11/2002
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	4/11/2001	7/11/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	11/2/1998	7/12/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	11/2/1998	7/12/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/21/1995	4/13/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/21/1995	4/13/1998
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/11/2003	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/11/2003	6/7/2008
Inactive	KSKJ Life	775663	Agent - Life	2/19/2015	9/1/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/14/2014	9/1/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/14/2014	9/1/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	7/10/2001	5/27/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	7/10/2001	5/27/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Health	4/15/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	4/15/1998	8/2/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	9/19/2002	12/22/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	8/12/1997	12/22/2004
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	2/21/2002	4/17/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	2/21/2002	4/17/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/17/2015	9/21/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/17/2015	9/21/2015
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	8/21/1995	10/11/1999
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	8/21/1995	10/11/1999
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	12/17/2014
Inactive	Maryland Casualty Company	301719	Agent - General Lines	4/12/1996	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	12/17/2014
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	4/6/2001	1/29/2003
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	9/5/2014	9/1/2015
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	9/5/2014	9/1/2015
Inactive	Medico Insurance Company	301559	Agent - Health	4/13/2012	9/1/2015
Inactive	Medico Insurance Company	301559	Agent - Life	4/13/2012	9/1/2015
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	10/18/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	10/18/2000	6/1/2001
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	9/25/2006	3/18/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	9/25/2006	3/18/2009
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	6/24/2011	12/30/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	5/30/1996	8/15/2000
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	6/24/2011	12/30/2013
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	10/3/1997	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	10/3/1997	3/31/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/19/1995	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/19/1995	3/31/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/26/2012	6/24/2013
Inactive	Nassau Life Insurance Company	301406	Agent - Health	7/2/1999	12/14/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	7/2/1999	12/14/2004
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	3/12/2001	9/27/2002
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	3/12/2001	9/27/2002
Inactive	National Insurance Association	301386	Agent - General Lines	4/1/1996	4/8/1999
Inactive	National Summit Insurance Company	300348	Agent - Casualty	8/15/2000	7/22/2003
Inactive	National Summit Insurance Company	300348	Agent - General Lines	6/25/1996	8/15/2000
Inactive	National Summit Insurance Company	300348	Agent - Property	8/15/2000	7/22/2003
Inactive	National Western Life Insurance Company	301515	Agent - Health	12/29/2003	10/31/2006
Inactive	National Western Life Insurance Company	301515	Agent - Life	12/29/2003	10/31/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/7/2010	5/10/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/7/2010	5/10/2011
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/20/2012	4/11/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2000	12/17/2014
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	4/13/1996	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	12/17/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	4/26/2012	6/24/2013
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/15/2000	10/31/2006
Inactive	Omni Indemnity Company	301456	Agent - General Lines	7/12/2000	8/15/2000
Inactive	Omni Indemnity Company	301456	Agent - Property	8/15/2000	10/31/2006
Inactive	Omni Insurance Company	301545	Agent - General Lines	4/29/1997	3/31/2000
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	7/26/1996	3/11/2002
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	3/31/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	5/7/1996	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	3/31/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Health	7/2/1999	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	7/2/1999	2/13/2004
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/7/2010	5/10/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/7/2010	5/10/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/7/2010	5/10/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	12/7/2010	5/10/2011
Inactive	Permanent General Assurance Corporation	300883	Agent - General Lines	1/18/1996	1/10/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	7/13/1995	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/13/1995	10/23/2002
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	8/30/2005
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	8/30/2005
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	8/30/2005
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	1/6/2000	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	8/30/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	8/30/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	1/6/2000	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	8/30/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	8/30/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	12/9/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	8/30/2005
Inactive	Pruco Life Insurance Company	300954	Agent - Health	12/4/2008	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/4/2008	12/23/2014
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	6/18/2001	11/1/2002
Inactive	QBE Insurance Corporation	300515	Agent - Property	6/18/2001	11/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	7/7/1997	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	7/7/1997	1/2/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	3/26/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	3/26/2007
Inactive	Reserve National Insurance Company	301073	Agent - Health	12/22/2005	12/18/2006
Inactive	Reserve National Insurance Company	301073	Agent - Life	12/22/2005	12/18/2006
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/7/2010	5/10/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/7/2010	5/10/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/7/2010	5/10/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/7/2010	5/10/2011
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	1/4/2000	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	1/4/2000	10/1/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	4/6/2000	6/25/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	4/6/2000	6/25/2003
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	7/1/1998	6/7/2000
Inactive	Southland Life Insurance Company	301175	Agent - Life	7/2/1998	9/16/2004
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	12/15/1997	7/17/2000
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	12/15/1997	7/17/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	10/18/2011
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	10/18/2011
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/25/1999	3/15/2010
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	8/25/1999	3/15/2010
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	3/15/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	3/15/2004
Inactive	State Life Insurance Company	301497	Agent - Health	4/6/2000	6/26/2003
Inactive	State Life Insurance Company	301497	Agent - Life	4/6/2000	6/26/2003
Inactive	Surety Life Insurance Company	301689	Agent - Health	7/16/1997	3/31/2005
Inactive	Surety Life Insurance Company	301689	Agent - Life	7/16/1997	3/31/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	10/18/2011
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	3/20/1997	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	10/18/2011
Inactive	Time Insurance Company	300683	Agent - Health	3/29/2012	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/29/2012	12/20/2014
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/18/1997	7/22/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/18/1997	7/22/2003
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	10/18/2011
Inactive	TravCo Insurance Company	301828	Agent - General Lines	3/20/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	10/18/2011
Denied	Travelers Casualty Company of Connecticut	301505	Agent - Casualty
Denied	Travelers Casualty Company of Connecticut	301505	Agent - Property
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	10/18/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	3/20/1997	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	10/18/2011
Denied	Travelers Property Casualty Insurance Company	301508	Agent - Casualty
Denied	Travelers Property Casualty Insurance Company	301508	Agent - Property
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005	9/1/2015
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	11/11/2008	9/1/2015
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/22/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	3/13/2006
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/9/2013	9/1/2015
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/9/2013	9/1/2015
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	3/13/2006
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	12/8/1998	9/27/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/8/1998	9/27/2007
Inactive	USG Annuity & Life Company	300457	Agent - Health	11/17/1997	8/11/2003
Inactive	USG Annuity & Life Company	300457	Agent - Life	11/17/1997	6/10/2002
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	5/3/2003	11/29/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	5/3/2003	11/29/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/26/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/26/2012	6/24/2013
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	1/1/2004	1/11/2010
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	7/1/1998	8/27/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/29/2011	11/8/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	4/29/2011	11/8/2013
Inactive	West Coast Life Insurance Company	301607	Agent - Life	1/18/2000	12/29/2005
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	5/31/1996	7/7/1997
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	5/31/1996	7/7/1997
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/31/1996	7/7/1997
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/31/1996	7/7/1997
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	1/17/2005
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	9/24/1998	8/15/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	2/21/1996	6/20/1997
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	2/21/1996	6/20/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Western Kentucky Inc.	401302	Agent - Life	12/11/1995	5/31/2003
Inactive	Acordia of Western Kentucky Inc.	401302	Agent - Health	12/11/1995	5/31/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/22/1996	6/15/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/22/1996	6/15/1999
Inactive	Career General Agency Inc.	399050	Agent - General Lines	11/30/1999	8/15/2000
Inactive	Career General Agency Inc.	399050	Agent - Life	11/30/1999	3/7/2003
Inactive	Career General Agency Inc.	399050	Agent - Health	11/30/1999	3/7/2003
Inactive	Career General Agency Inc.	399050	Agent - Property	8/15/2000	3/7/2003
Inactive	Career General Agency Inc.	399050	Agent - Casualty	8/15/2000	3/7/2003
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/29/2012	9/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/29/2012	9/1/2015
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Jimmie Nelson Insurance Agency, Inc.	574840	Agent - Life	8/21/2003	9/1/2015
Inactive	Jimmie Nelson Insurance Agency, Inc.	574840	Agent - Health	8/21/2003	9/1/2015
Inactive	Jimmie Nelson Insurance Agency, Inc.	574840	Agent - Property	8/21/2003	9/1/2015
Inactive	Jimmie Nelson Insurance Agency, Inc.	574840	Agent - Casualty	8/21/2003	9/1/2015
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003