DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lee, Warren R	DOIID	315342	NAIC NPN	1475831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/9/1994	3/31/1999
Inactive	Non Resident	Agent	Life	6/14/1993	4/30/2005
Inactive	Non Resident	Agent	Health	6/14/1993	4/30/2005
Inactive	Non Resident	Agent	Health Maintenance Organization	3/11/1993	3/31/1997
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/11/1993	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/20/1993	3/26/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/20/1993	3/26/2003
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/3/1993	12/31/1998
Inactive	Companion Life Insurance Company	300191	Agent - Life	11/3/1993	12/31/1998
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	8/1/1994	5/14/1999
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	8/1/1994	5/14/1999
Inactive	Standard Insurance Company	300185	Agent - Health	2/18/1994	4/30/2005
Inactive	Standard Insurance Company	300185	Agent - Life	2/18/1994	4/30/2005

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	6/14/1993	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/14/1993	2/28/2003
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	United Benefit Services Inc.	401269	Agent - Life	7/21/1993	4/30/2005
Inactive	United Benefit Services Inc.	401269	Agent - Health	7/21/1993	5/31/2003
Inactive	United Benefit Services Inc.	401269	Administrator - Not Applicable	11/9/1994	3/31/1999