DEPARTMENT OF INSURANCE

Affiliations

Name	Feldkamp, David L	DOIID	308746	NAIC NPN	7159529

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	8/26/1985	7/14/1997
Inactive	Resident	Agent	Health	9/11/1989	9/30/2012
Inactive	Resident	Agent	Life	9/11/1989	9/30/2012
* 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	Ameritas Variable Life Insurance Company	300665	Agent - Health	4/1/1996	3/6/1997
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	4/1/1996	3/6/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/5/2000	9/30/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/5/2000	9/30/2012
Inactive	Athene Annuity and Life Company	301893	Agent - Health	9/3/1998	6/5/2000
Inactive	Athene Annuity and Life Company	301893	Agent - Life	9/3/1998	6/5/2000
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	10/31/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	10/31/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/18/1992	10/31/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/18/1992	10/31/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/26/1985	7/14/1997
Inactive	Jefferson National Life Insurance Company	300258	Agent - Health	1/10/1994	6/8/2006
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	1/10/1994	6/8/2006
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Health	6/8/1992	12/31/1998
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Life	6/8/1992	12/31/1998
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	2/17/1994	9/30/2012
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	2/17/1994	9/30/2012
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/11/1989	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/11/1989	11/30/2003
Inactive	Time Insurance Company	300683	Agent - Health	6/3/2002	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	6/3/2002	12/29/2008
Inactive	Union Security Insurance Company	301844	Agent - Health	2/2/1994	3/31/1997
Inactive	Union Security Insurance Company	301844	Agent - Life	2/2/1994	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
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/31/1999	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/31/1999	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	9/30/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	9/30/2012
Inactive	Insurance One Inc.	399840	Agent - Life	10/21/1991	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	10/21/1991	5/31/2004
Inactive	Medlink Inc	400721	Agent - Life	11/14/2011	9/30/2012
Inactive	Medlink Inc	400721	Agent - Health	11/14/2011	9/30/2012