DEPARTMENT OF INSURANCE

Affiliations

Name	Bartlett, Susann G	DOIID	307062	NAIC NPN	3312199

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/5/2011	3/1/2015
Inactive	Resident	Agent	Property	4/5/2011	3/1/2015
Inactive	Resident	Agent	Life	4/5/2011	3/1/2015
Inactive	Resident	Agent	Casualty	4/5/2011	3/1/2015
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/3/2013	1/7/2015
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/3/2013	1/7/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/20/2009	3/1/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/20/2009	3/1/2011
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/15/2013	3/1/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/15/2013	3/1/2015
Inactive	American Public Life Insurance Company	300252	Agent - Health	4/12/2005	3/8/2007
Inactive	American Public Life Insurance Company	300252	Agent - Life	4/12/2005	3/8/2007
Inactive	Assurity Life Insurance Company	301099	Agent - Health	1/23/2008	10/29/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/23/2008	10/29/2009
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/16/2007	3/1/2011
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	3/15/2013	11/12/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	3/15/2013	11/12/2014
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	3/15/2013	11/12/2014
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	3/15/2013	11/12/2014
Inactive	Banner Life Insurance Company	301696	Agent - Life	11/13/2007	8/26/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/15/2013	3/1/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/15/2013	3/1/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/30/2007	11/10/2010
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/30/2007	11/10/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/12/2007	12/9/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/12/2007	12/9/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/21/2008	10/4/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/21/2008	10/4/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/19/2008	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/28/2010	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/28/2010	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/19/2008	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/19/2008	9/9/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/19/2008	9/9/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/19/2008	9/9/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/15/2013	3/1/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	4/15/2013	3/1/2015
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	3/12/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	3/12/2008	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	3/1/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	3/1/2011
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	2/28/2003	12/11/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/19/2008	9/9/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/19/2008	9/9/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	3/22/2013	3/1/2015
Inactive	Kentucky National Insurance Company	301625	Agent - Property	3/22/2013	3/1/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/12/2008	3/1/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/15/2013	3/1/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/15/2013	3/1/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/15/2013	3/1/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/15/2013	3/1/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/15/2013	3/1/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/15/2013	3/1/2015
Inactive	Owners Insurance Company	300796	Agent - Casualty	3/15/2013	11/12/2014
Inactive	Owners Insurance Company	300796	Agent - Property	3/15/2013	11/12/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/15/2013	3/1/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/15/2013	3/1/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/15/2013	3/1/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	4/15/2013	3/1/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/23/2007	1/18/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/23/2007	1/18/2011
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/23/2007	1/18/2011
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/23/2007	1/18/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/15/2013	3/1/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/15/2013	3/1/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/15/2013	3/1/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/15/2013	3/1/2015
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	10/5/2009	10/11/2010
Inactive	Sagamore Insurance Company	300942	Agent - Property	10/5/2009	10/11/2010
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	5/29/2007	1/29/2011
Inactive	Shelter General Insurance Company	301109	Agent - Property	5/29/2007	1/29/2011
Inactive	Shelter Life Insurance Company	300391	Agent - Health	5/29/2007	1/29/2011
Inactive	Shelter Life Insurance Company	300391	Agent - Life	5/29/2007	1/29/2011
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	5/29/2007	1/29/2011
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	5/29/2007	1/29/2011
Inactive	United World Life Insurance Company	300532	Agent - Health	11/12/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/12/2008	3/1/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/12/2008	3/1/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/7/2010	3/1/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/7/2010	3/1/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/7/2010	3/1/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/14/2010	3/1/2011
Inactive	West American Insurance Company	301112	Agent - Casualty	4/15/2013	3/1/2015
Inactive	West American Insurance Company	301112	Agent - Property	4/15/2013	3/1/2015
Inactive	Westfield Insurance Company	301950	Agent - Casualty	3/20/2013	9/13/2014
Inactive	Westfield Insurance Company	301950	Agent - Property	3/20/2013	9/13/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	6/29/2007	1/29/2011
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	6/29/2007	1/29/2011
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	6/29/2007	1/29/2011
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	6/29/2007	1/29/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	11/12/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	11/12/2014
Denied	Gateway Ins Marketing Inc	613567	Agent - Life
Denied	Gateway Ins Marketing Inc	613567	Agent - Health
Inactive	Medlink Inc	400721	Agent - Life	3/24/2008	3/1/2011
Inactive	Medlink Inc	400721	Agent - Health	3/24/2008	3/1/2011
Inactive	Neely Insurance Agency, LLC	577942	Agent - Life	3/15/2013	6/5/2014
Inactive	Neely Insurance Agency, LLC	577942	Agent - Health	3/15/2013	6/5/2014
Inactive	Neely Insurance Agency, LLC	577942	Agent - Property	3/15/2013	6/5/2014
Inactive	Neely Insurance Agency, LLC	577942	Agent - Casualty	3/15/2013	6/5/2014
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Life	1/20/2005	3/1/2011
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Health	1/20/2005	3/1/2011