DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Carolyne Wray	DOIID	313176	NAIC NPN	1480430

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/15/1993	7/1/2002
Inactive	Resident	Agent	Property	8/15/2000	7/1/2002
Inactive	Resident	Agent	Health Maintenance Organization	3/9/1999	3/1/2001
Inactive	Resident	Agent	Prepaid Dental Plan	5/21/1998	3/1/2001
Inactive	Resident	Agent	Health	3/15/1993	7/1/2002
Inactive	Resident	Agent	General Lines	3/5/1992	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	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	ADENTA, Inc.	301437	Agent - Health	3/1/2001	3/31/2001
Inactive	ADENTA, Inc.	301437	Agent - Prepaid Dental Plan	5/21/1998	3/1/2001
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	2/16/1999	7/1/2002
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	2/16/1999	7/1/2002
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	7/25/1994	3/31/1996
Inactive	Canada Life Assurance Company	301192	Agent - Health	12/31/1998	7/1/2002
Inactive	Canada Life Assurance Company	301192	Agent - Life	12/31/1998	7/1/2002
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	7/13/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	7/13/1995	3/31/1997
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	3/5/1992	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	12/27/2001
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/7/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/7/1995	3/31/1997
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	12/1/1999	7/1/2002
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	12/1/1999	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	3/9/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/2/1994	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Life	9/2/1994	7/1/2002
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	5/31/1994	3/31/1997
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/23/1997	7/1/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/23/1997	7/1/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/15/1993	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/15/1993	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	11/2/1994	4/7/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Life	11/2/1994	4/7/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	12/14/1995	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	12/14/1995	3/31/1997
Inactive	Owners Insurance Company	300796	Agent - General Lines	7/25/1994	3/31/1996
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	4/30/2001	7/1/2002
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	4/30/2001	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/4/2000	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/4/2000	7/1/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/16/1996	4/21/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/16/1996	4/21/1997
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	4/19/2001	7/1/2002
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	4/19/2001	7/1/2002
Inactive	Time Insurance Company	300683	Agent - Health	4/19/1999	7/1/2002
Inactive	Time Insurance Company	300683	Agent - Life	4/19/1999	7/1/2002
Inactive	Transamerica Assurance Company	300893	Agent - Health	3/7/1995	3/7/1995
Inactive	Transamerica Assurance Company	300893	Agent - Life	3/7/1995	3/7/1995
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	2/15/1994	5/28/1996
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	2/15/1994	5/28/1996
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	2/15/1994	5/28/1996
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/1/1997	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	7/1/2002
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/26/1995	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/26/1995	3/31/1997
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/14/1999	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/14/1999	7/1/2002
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	6/12/2001	7/1/2002
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	6/12/2001	7/1/2002
Inactive	United Heartland Life Insurance Company	517547	Agent - Health	5/7/2001	7/1/2002
Inactive	United Heartland Life Insurance Company	517547	Agent - Life	5/7/2001	7/1/2002
Inactive	United Wisconsin Insurance Company	301103	Agent - Health	5/7/2001	7/1/2002
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/3/1993	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/3/1993	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	Anchor Insurance Agency Inc.	398530	Agent - Life	12/1/1994	7/1/2002
Inactive	Anchor Insurance Agency Inc.	398530	Agent - Health	12/1/1994	7/1/2002
Inactive	G H Brown & Co	400662	Agent - Life	10/21/1998	7/1/2002
Inactive	G H Brown & Co	400662	Agent - Health	10/21/1998	7/1/2002
Inactive	Insuramax LLC	400061	Agent - General Lines	5/28/1993	6/19/1996
Inactive	Insuramax LLC	400061	Agent - Life	5/28/1993	6/19/1996
Inactive	Insuramax LLC	400061	Agent - Health	5/28/1993	6/19/1996