DEPARTMENT OF INSURANCE

Affiliations

Name	Click, Richard A	DOIID	312401	NAIC NPN	7161383

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	2/23/1995	6/26/2003
Inactive	Resident	Agent	Life	2/23/1995	9/13/2004
* 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	AF&L Insurance Company	301582	Agent - Health	7/31/1998	6/4/2001
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/5/2000	7/13/2001
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/5/2000	7/13/2001
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	9/2/1998	12/11/2002
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/11/1995	10/14/1999
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/11/1995	10/14/1999
Inactive	Athene Annuity and Life Company	301893	Agent - Life	2/28/2000	9/13/2004
Inactive	Banner Life Insurance Company	301696	Agent - Health	4/4/1995	3/31/1997
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/4/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	4/26/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	4/26/1995	3/31/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	6/26/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	6/26/2003
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	8/22/1995	10/18/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/22/1995	10/18/1999
Inactive	LifeUSA Insurance Company	300386	Agent - Health	10/21/1996	7/13/2001
Inactive	LifeUSA Insurance Company	300386	Agent - Life	10/21/1996	7/13/2001
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	11/29/1995	3/31/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	11/29/1995	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	9/6/1995	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	9/6/1995	10/23/2002
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	2/12/1996	3/31/1999
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	2/12/1996	3/31/1999
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	7/3/1995	12/11/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	7/3/1995	12/11/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/23/1995	10/16/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/23/1995	10/16/1996
Inactive	USA Life One Insurance Company of Indiana	301570	Agent - Health	9/6/1995	3/31/1997
Inactive	USA Life One Insurance Company of Indiana	301570	Agent - Life	9/6/1995	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	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Liberty Insurance Agency Inc.	398620	Agent - Life	7/10/1995	2/17/2003
Inactive	Liberty Insurance Agency Inc.	398620	Agent - Health	7/10/1995	2/17/2003