DEPARTMENT OF INSURANCE

Affiliations

Name	Walters, David Anthony	DOIID	309708	NAIC NPN	7159978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/13/2006		10/31/2024
Active	Resident	Agent	Health	7/13/2006		10/31/2024
Active	Resident	Agent	Variable Life and Variable Annuities	7/19/2006		10/31/2024
Inactive	Resident	Agent	General Lines	7/19/1994	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	12/11/2002
Inactive	Resident	Agent	Casualty	8/15/2000	12/11/2002
Inactive	Resident	Agent	Health Maintenance Organization	6/8/1994	3/1/2001
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/20/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/20/2015
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/20/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	9/20/2019
Active	All Savers Insurance Company	301940	Agent - Health	5/24/2021
Active	All Savers Insurance Company	301940	Agent - Life	5/24/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/25/1999	12/11/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/25/1999	12/11/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	9/14/1994	3/31/1997
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	9/14/1994	3/31/1997
Inactive	American Continental Insurance Company	643130	Agent - Health	12/26/2014	6/6/2016
Inactive	American Continental Insurance Company	643130	Agent - Life	12/26/2014	8/11/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/16/2012
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/16/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	2/24/2011	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	2/24/2011	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	3/8/2002	7/1/2006
Inactive	American National Insurance Company	301861	Agent - Health	1/25/2017	5/26/2021
Active	American National Insurance Company	301861	Agent - Life	1/25/2017
Inactive	American States Insurance Company	301230	Agent - Health	8/24/1994	12/11/2002
Inactive	American States Life Insurance Company	301884	Agent - Life	8/24/1994	11/26/2001
Inactive	American United Life Insurance Company	300498	Agent - Health	9/3/2009	6/13/2019
Inactive	American United Life Insurance Company	300498	Agent - Life	9/3/2009	6/13/2019
Inactive	American United Life Insurance Company	300498	Agent - Variable Life and Variable Annuities	9/23/2009	3/17/2011
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/12/1996	12/11/2000
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	11/12/1996	12/11/2000
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/3/2024
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/15/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/17/1996	12/11/2002
Active	Anthem Life Insurance Company	301209	Agent - Life	4/3/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/26/2019
Inactive	Assurance Company of America	300432	Agent - General Lines	10/3/1995	3/31/1996
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	5/10/2017	12/21/2018
Active	Banner Life Insurance Company	301696	Agent - Life	4/12/2013
Active	Brighthouse Life Insurance Company	301829	Agent - Health	8/19/2015
Active	Brighthouse Life Insurance Company	301829	Agent - Life	8/19/2015
Active	CHA HMO, Inc.	300662	Agent - Health	12/26/2023
Active	CMFG Life Insurance Company	300929	Agent - Health	8/12/2021
Active	CMFG Life Insurance Company	300929	Agent - Life	8/12/2021
Active	CMFG Life Insurance Company	300929	Agent - Variable Life and Variable Annuities	8/12/2021
Inactive	Catlin Insurance Company, Inc.	300979	Agent - General Lines	8/22/1994	3/31/1996
Inactive	Celtic Insurance Company	300877	Agent - Health	11/24/1992	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	11/24/1992	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	12/2/1994	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/2/1994	3/31/1997
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	3/3/2021	12/28/2022
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/9/1993	12/11/2002
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/9/1993	12/11/2002
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/20/2019
Inactive	Combined Insurance Company of America	301472	Agent - Health	1/11/2013	1/11/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	12/23/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	9/23/2010	7/16/2018
Inactive	Companion Life Insurance Company	300191	Agent - Life	9/23/2010	7/16/2018
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/15/2021
Inactive	Continental Casualty Company	301019	Agent - Health	4/3/2000	11/29/2004
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	1/31/1997	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	10/11/2001
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021
Active	Dental Concern Inc. (The)	301641	Agent - Health	8/31/2006
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	3/25/2022	11/16/2022
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Health	11/29/2021
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	11/29/2021
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/1/2002	12/11/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/4/1997	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	10/11/2001
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	4/25/1997	3/31/1998
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/28/2005	7/1/2006
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/23/2008	7/22/2010
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	12/11/2002
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	12/11/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	12/19/1995	10/31/1996
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	12/19/1995	10/31/1996
Inactive	First Variable Life Insurance Company	300644	Agent - Life	5/15/2000	12/11/2002
Inactive	Forethought Life Insurance Company	301407	Agent - Health	4/29/2011	11/12/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/29/2011	11/12/2014
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	5/22/2000	12/11/2002
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	12/11/2002
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	12/11/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/16/2015	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/16/2015	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/15/2008	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/15/2008	12/14/2016
Active	Gerber Life Insurance Company	300529	Agent - Health	5/25/2023
Active	Gerber Life Insurance Company	300529	Agent - Life	5/25/2023
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	10/3/1995	3/31/1996
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	4/25/1997	12/30/1999
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/5/2015	12/13/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/5/2015	12/14/2018
Inactive	Grange Life Insurance Company	300128	Agent - Health	7/7/1995	12/11/2002
Inactive	Grange Life Insurance Company	300128	Agent - Life	7/30/2013	10/2/2018
Active	Guardian Life Insurance Company of America	301316	Agent - Health	5/6/2014
Active	Guardian Life Insurance Company of America	301316	Agent - Life	5/6/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/8/2007	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/8/2007	11/16/2011
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/2/2017
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	7/19/2006
Active	Humana Insurance Company	301104	Agent - Health	8/31/2006
Active	Humana Insurance Company	301104	Agent - Life	8/31/2006
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	11/4/2008
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	11/4/2008
Active	Humana Medical Plan, Inc.	801568	Agent - Health	2/2/2017
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/2/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/19/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/19/2006	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/24/2006	1/12/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/24/2006	1/12/2015
Inactive	Independent Order of Foresters	300743	Agent - Life	2/17/2012	12/23/2013
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	6/22/1993	12/11/2002
Active	Jackson National Life Insurance Company	300486	Agent - Life	11/24/2009
Active	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	7/30/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/23/1993	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/23/1993	3/31/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	3/7/2007	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	3/7/2007	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	8/9/2018
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	4/25/1997	12/30/1999
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/11/2013	10/29/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	12/30/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	12/30/2004
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	7/19/1994	4/11/1997
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	6/15/1998	12/11/2002
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	6/15/1998	12/11/2002
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	10/8/2020	12/30/2021
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/30/2000	12/11/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/30/2000	12/11/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	4/2/2001	12/11/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	4/17/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	11/9/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/22/2007	11/9/2018
Active	MEMBERS Life Insurance Company	301289	Agent - Health	8/12/2021
Active	MEMBERS Life Insurance Company	301289	Agent - Life	8/12/2021
Active	MEMBERS Life Insurance Company	301289	Agent - Variable Life and Variable Annuities	8/12/2021
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/3/1995	3/31/1996
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/29/2003	7/1/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/29/2003	7/1/2006
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	1/8/1998	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	1/8/1998	3/31/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Health	2/21/2011	4/14/2021
Active	Midland National Life Insurance Company	300923	Agent - Life	2/21/2011
Active	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	1/7/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/5/2021	12/22/2021
Active	National Guardian Life Insurance Company	300596	Agent - Health	6/17/2021
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/10/1993	3/31/1999
Active	Nationwide Life Insurance Company	300495	Agent - Health	6/17/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	6/17/2021
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	4/30/2019	12/17/2020
Inactive	New Era Life Insurance Company of the Midwest	300700	Agent - Health	10/16/1995	3/31/1997
Inactive	New Era Life Insurance Company of the Midwest	300700	Agent - Life	10/16/1995	3/31/1997
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	10/3/1995	3/31/1996
Inactive	Old American Indemnity Company	301882	Agent - General Lines	8/11/1994	3/31/1998
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	3/8/2002	12/11/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	3/8/2002	12/11/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Variable Life and Variable Annuities	3/8/2002	12/11/2002
Active	Pacific Life Insurance Company	301848	Agent - Health	1/16/2020
Active	Pacific Life Insurance Company	301848	Agent - Life	1/16/2020
Active	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	1/16/2020
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	6/28/2002	12/9/2004
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	6/28/2002	12/9/2004
Inactive	Pioneer Mutual Life Insurance Company	501695	Agent - Health	9/3/2009	8/6/2013
Inactive	Pioneer Mutual Life Insurance Company	501695	Agent - Life	9/3/2009	8/6/2013
Active	Principal Life Insurance Company	300129	Agent - Health	1/8/2014
Active	Principal Life Insurance Company	300129	Agent - Life	1/8/2014
Active	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	1/8/2014
Active	Principal National Life Insurance Company	301926	Agent - Life	3/1/2017
Active	Protective Life Insurance Company	300638	Agent - Health	4/15/2020
Active	Protective Life Insurance Company	300638	Agent - Life	4/15/2020
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	4/15/2020
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/14/2006	12/24/2018
Active	Pruco Life Insurance Company	300954	Agent - Life	4/26/2024
Active	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	4/26/2024
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	1/20/2005	7/1/2006
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	1/20/2005	7/1/2006
Inactive	Reassure America Life Insurance Company	301902	Agent - Variable Life and Variable Annuities	1/20/2005	7/1/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	2/10/2011	2/27/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/10/2011	2/27/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	2/10/2011	2/27/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	12/11/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	12/11/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	12/11/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	12/11/2002
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	2/10/2011	9/29/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	2/10/2011	9/29/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Variable Life and Variable Annuities	2/10/2011	9/29/2012
Active	SilverScript Insurance Company	663526	Agent - Health	10/4/2019
Inactive	Standard Insurance Company	300185	Agent - Health	7/17/2019	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	7/17/2019	12/5/2022
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	6/30/2016
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	7/5/2016	8/1/2017
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/22/2002	12/11/2002
Active	State Life Insurance Company	301497	Agent - Health	11/8/2021
Active	State Life Insurance Company	301497	Agent - Life	11/8/2021
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	11/26/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	11/26/2001
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	9/4/2007	11/16/2011
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	9/4/2007	11/16/2011
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	9/4/2007	11/16/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	9/4/2007	9/27/2016
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	9/4/2007	9/27/2016
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	9/4/2007	9/27/2016
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	11/28/2012	12/18/2015
Inactive	Time Insurance Company	300683	Agent - Health	8/9/2006	10/17/2011
Inactive	Time Insurance Company	300683	Agent - Life	8/9/2006	10/17/2011
Active	Transamerica Financial Life Insurance Company	301288	Agent - Health	11/12/2018
Active	Transamerica Financial Life Insurance Company	301288	Agent - Life	11/12/2018
Active	Transamerica Financial Life Insurance Company	301288	Agent - Variable Life and Variable Annuities	1/28/2020
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/15/2018
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/15/2018
Active	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	11/15/2018
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	4/27/1992	7/1/2006
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/27/1992	7/1/2006
Inactive	UFG Specialty Insurance Company	300347	Agent - General Lines	8/22/1994	3/31/1996
Inactive	Union Security Insurance Company	301844	Agent - Health	10/26/1993	11/25/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	10/26/1993	11/25/2002
Active	United American Insurance Company	300910	Agent - Health	8/8/2023
Active	United American Insurance Company	300910	Agent - Life	8/8/2023
Inactive	United Fire and Indemnity Company	300736	Agent - General Lines	8/22/1994	3/31/1996
Inactive	United World Life Insurance Company	300532	Agent - Health	4/20/2006	7/1/2006
Active	United of Omaha Life Insurance Company	300156	Agent - Health	6/23/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	6/23/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	3/7/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/24/2021	3/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/24/2021	3/27/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/14/2016	3/13/2017
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	1/25/2020
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/5/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/5/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/6/2019	1/25/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	1/26/1999	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/8/2014	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/6/2019	1/25/2020
Inactive	West Coast Life Insurance Company	301607	Agent - Health	4/15/2009	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/15/2009	11/16/2011
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/5/2003	7/1/2006
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	3/25/1996	12/31/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	3/25/1996	12/31/2000
Inactive		300277	Agent - Life	11/23/2005	7/1/2006

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	4/3/1996	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/3/1996	2/28/2003
Inactive	Cardinal Insurance & Financial Services Inc.	398631	Agent - Health Maintenance Organization	7/1/1996	3/1/2001
Active	Cardinal Insurance & Financial Services Inc.	398631	Agent - Life	7/24/2006
Active	Cardinal Insurance & Financial Services Inc.	398631	Agent - Health	7/24/2006
Inactive	Cooper Insurance Inc.	399778	Agent - Health Maintenance Organization	6/8/1994	3/1/2001
Inactive	Cooper Insurance Inc.	399778	Agent - Health	3/1/2001	1/12/2005
Active	Dental Choice Agency Inc.	398085	Agent - Health	7/6/2011
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Insurance Marketing Group Inc.	399574	Agent - General Lines	6/22/1995	8/15/2000
Inactive	Insurance Marketing Group Inc.	399574	Agent - Life	6/22/1995	8/2/2001
Inactive	Insurance Marketing Group Inc.	399574	Agent - Health	6/22/1995	8/2/2001
Inactive	Insurance Marketing Group Inc.	399574	Agent - Property	8/15/2000	8/2/2001
Inactive	Insurance Marketing Group Inc.	399574	Agent - Casualty	8/15/2000	8/2/2001
Inactive	Insurance One Inc.	399840	Agent - Life	5/29/1992	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	5/29/1992	5/31/2004
Inactive	Medlink Inc	400721	Agent - Life	4/21/2015	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	4/21/2015	3/31/2024
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014
Inactive	Richard B Vance & Company	399961	Agent - Life	9/11/2001	2/10/2004
Inactive	Richard B Vance & Company	399961	Agent - Variable Life and Variable Annuities	9/11/2001	2/10/2004