DEPARTMENT OF INSURANCE

Affiliations

Name	Koerner, John Almon	DOIID	308221	NAIC NPN	1454632

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/14/1990	11/30/2003
Inactive	Non Resident	Agent	Life	2/14/1990	11/30/2003
* 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	3/14/1996	8/20/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/14/1996	8/20/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/30/1994	3/31/1997
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/30/1994	3/31/1997
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	2/17/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	2/17/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/3/1997	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/3/1997	8/2/2002
Inactive	Lumico Life Insurance Company	300354	Agent - Health	10/17/1995	3/31/1997
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/17/1995	3/31/1997
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/17/1997	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	11/17/1997	3/31/1999
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	12/30/1996	2/4/1999
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	12/30/1996	2/4/1999
Inactive	Security Life Insurance Company of America	300936	Agent - Health	3/21/1995	4/15/1999
Inactive	Security Life Insurance Company of America	300936	Agent - Life	3/21/1995	4/15/1999
Inactive	USA Life One Insurance Company of Indiana	301570	Agent - Health	2/14/1990	3/31/1997
Inactive	USA Life One Insurance Company of Indiana	301570	Agent - Life	2/14/1990	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Health	5/14/1991	1/24/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Life	5/14/1991	1/24/1997
Inactive	United American Insurance Company	300910	Agent - Health	11/2/1995	9/30/1996
Inactive	United American Insurance Company	300910	Agent - Life	11/2/1995	9/30/1996

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	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	2/28/2003