DEPARTMENT OF INSURANCE

Affiliations

Name	Cheney, Gary H	DOIID	310014	NAIC NPN	7160110

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/14/1988	7/1/2002
Inactive	Resident	Agent	Health Maintenance Organization	10/1/1996	3/1/2001
Inactive	Resident	Agent	Life	12/14/1988	7/1/2002
* 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	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	7/1/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	7/1/2002
Inactive	Conseco Insurance Company	301202	Agent - Life	11/16/1994	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/1/1996	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	10/1/1996	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/1996	7/1/2002
Inactive	Humana Insurance Company	300118	Agent - Life	10/1/1996	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	12/19/1996	7/1/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/21/1996	3/9/2001
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	5/7/1997	10/11/1999
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	5/7/1997	10/11/1999
Inactive	National States Insurance Company	300579	Agent - Health	8/28/1996	3/31/1997
Inactive	National States Insurance Company	300579	Agent - Life	8/28/1996	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	4/11/1995	7/1/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	4/11/1995	7/1/2002
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	5/30/1991	3/31/1997
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	5/30/1991	3/31/1997
Inactive	Security Life Insurance Company of America	300936	Agent - Health	4/3/1991	3/31/1997
Inactive	Security Life Insurance Company of America	300936	Agent - Life	4/3/1991	3/31/1997
Inactive	Southern Security Life Insurance Company	300651	Agent - Life	12/17/1996	12/21/1998
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	1/5/1994	7/1/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/1/1991	7/14/1997
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	10/1/1991	7/14/1997
Inactive	Surety Life Insurance Company	301689	Agent - Life	12/28/1995	3/24/1997
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Health	2/2/1996	8/14/1997
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Life	2/2/1996	8/14/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Health	12/14/1988	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Life	12/14/1988	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	Advanced Marketing Services Inc.	400403	Agent - Health	9/8/1992	7/1/2002
Inactive	Advanced Marketing Services Inc.	400403	Agent - Life	9/8/1992	7/1/2002
Inactive	Frank Bradshaw Co	399179	Agent - Health	11/2/1992	8/10/2000
Inactive	Frank Bradshaw Co	399179	Agent - Life	11/2/1992	8/10/2000