DEPARTMENT OF INSURANCE

Affiliations

Name	White, Matthew Edward	DOIID	316389	NAIC NPN	830188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	6/23/2017	6/26/2018
Inactive	Resident	Agent	Casualty	8/15/2000	6/26/2018
Inactive	Resident	Agent	General Lines	6/6/1991	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	2/24/1999	3/1/2001
Inactive	Resident	Agent	Prepaid Dental Plan	4/21/1998	3/1/2001
Inactive	Non Resident	Agent	Health	7/23/2018	2/29/2020
Inactive	Non Resident	Agent	Life	7/23/2018	2/29/2020
Inactive	Resident	Agent	Property	8/15/2000	6/26/2018
Inactive	Resident	Agent	Variable Life and Variable Annuities	8/11/2006	6/26/2018
Inactive	Resident	Managing General Agent	Not Applicable	7/9/1992	3/31/2000
Inactive	Resident	Surplus Lines Broker	Not Applicable	6/16/1997	12/28/2011
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	8/15/2000	11/20/2009
Inactive	ACE American Insurance Company	300625	Agent - General Lines	6/6/1991	8/15/2000
Inactive	ACE American Insurance Company	300625	Agent - Property	8/15/2000	11/20/2009
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	6/6/1991	3/31/1998
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/15/2000	11/20/2009
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	6/6/1991	8/15/2000
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/15/2000	11/20/2009
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/12/2008	10/19/2011
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/12/2008	10/19/2011
Inactive	AIG Assurance Company	300897	Agent - Casualty	7/13/2005	6/21/2010
Inactive	AIG Assurance Company	300897	Agent - Property	7/13/2005	6/21/2010
Inactive	Acadia Insurance Company	557871	Agent - Casualty	8/29/2007	6/27/2012
Inactive	Acadia Insurance Company	557871	Agent - Property	8/29/2007	6/27/2012
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	3/27/2002	8/18/2017
Inactive	Allstate Indemnity Company	300778	Agent - Property	3/27/2002	8/18/2017
Inactive	Allstate Insurance Company	300773	Agent - Casualty	3/27/2002	8/18/2017
Inactive	Allstate Insurance Company	300773	Agent - Property	3/27/2002	8/18/2017
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Casualty	6/3/2002	6/19/2003
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Property	6/3/2002	6/19/2003
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	8/18/2017
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	8/18/2017
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/18/2014	8/18/2017
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/18/2014	8/18/2017
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	9/19/1995	3/31/1996
Inactive	American Bonding Company	300467	Agent - General Lines	2/12/1993	3/31/1996
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/9/2004
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	9/19/1994	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/9/2004
Inactive	American Continental Insurance Company	643130	Agent - Health	1/13/2009	5/12/2011
Inactive	American Continental Insurance Company	643130	Agent - Life	1/13/2009	5/12/2011
Inactive	American Contractors Indemnity Company	536843	Agent - Casualty	4/13/2007	6/26/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/20/1995	2/19/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/20/1995	2/19/2014
Inactive	American General Assurance Company	300586	Agent - Health	2/10/2010	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	2/10/2010	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	6/26/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	6/26/2018
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/10/2010	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/10/2010	12/31/2012
Inactive	American Growers Insurance Company	300841	Agent - Casualty	8/15/2000	4/14/2003
Inactive	American Growers Insurance Company	300841	Agent - General Lines	9/20/1996	8/15/2000
Inactive	American Growers Insurance Company	300841	Agent - Property	8/15/2000	4/14/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	5/24/2001	5/30/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/24/2001	5/30/2013
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	9/8/2003	3/8/2012
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	6/26/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	6/26/2018
Inactive	American Public Life Insurance Company	300252	Agent - Health	11/23/1998	10/6/2003
Inactive	American Public Life Insurance Company	300252	Agent - Life	11/23/1998	10/6/2003
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/11/2016	6/26/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/11/2016	6/26/2018
Inactive	American Southern Insurance Company	301617	Agent - Casualty	6/14/2004	6/22/2005
Inactive	American Southern Insurance Company	301617	Agent - Property	6/14/2004	6/22/2005
Inactive	American United Life Insurance Company	300498	Agent - Health	6/22/2001	8/28/2006
Inactive	American United Life Insurance Company	300498	Agent - Life	6/22/2001	8/28/2006
Inactive	Assurance Company of America	300432	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Assurance Company of America	300432	Agent - Property	9/23/2002	10/28/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	4/4/1996	10/10/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/4/1996	10/10/2006
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	7/8/2010	11/21/2011
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	7/8/2010	11/21/2011
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/15/2000	7/30/2001
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	3/28/1995	8/15/2000
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/15/2000	7/30/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/12/2004	6/26/2018
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	6/26/2018
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	2/24/1999	3/1/2001
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	3/7/1997	3/31/1998
Inactive	Catlin Insurance Company, Inc.	300979	Agent - General Lines	4/18/1996	10/22/1999
Inactive	Centre Life Insurance Company	300341	Agent - Health	8/11/1995	3/31/1997
Inactive	Century Indemnity Company	301310	Agent - General Lines	6/6/1991	3/31/1998
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/7/2004	9/4/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/7/2004	9/4/2008
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/11/1991	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/11/1991	4/1/2007
Inactive	Clarendon National Insurance Company	300843	Agent - General Lines	2/2/1999	8/15/2000
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	9/23/2002	10/28/2010
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/6/1997	3/31/1998
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/6/2010	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/6/2010	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/6/2010	7/2/2013
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/20/1993	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/20/1993	3/9/1998
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/9/2004
Inactive	Continental Casualty Company	301019	Agent - General Lines	9/19/1994	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/9/2004
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	10/29/2012
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/5/1997	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	10/29/2012
Inactive	Continental Western Insurance Company	300576	Agent - Casualty	8/29/2007	6/27/2012
Inactive	Continental Western Insurance Company	300576	Agent - Property	8/29/2007	6/27/2012
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/28/2009	8/31/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/23/2001	2/2/2012
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/23/2001	2/2/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/14/2015
Inactive	EMC National Life Company	300388	Agent - Health	12/4/2009	2/27/2012
Inactive	EMC National Life Company	300388	Agent - Life	12/4/2009	2/27/2012
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	8/15/2000	5/9/2011
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - General Lines	8/19/1996	8/15/2000
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	8/15/2000	5/9/2011
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	12/3/2009	2/27/2012
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	12/3/2009	2/27/2012
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	3/24/2006	11/7/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	3/24/2006	11/7/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	1/27/2004	11/7/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	1/27/2004	11/7/2012
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	10/15/2010	6/26/2018
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	10/15/2010	6/26/2018
Inactive	Everlake Life Insurance Company	300873	Agent - Health	3/27/2002	8/18/2017
Inactive	Everlake Life Insurance Company	300873	Agent - Life	3/27/2002	8/18/2017
Inactive	Fairmont Specialty Insurance Company	300980	Agent - General Lines	7/14/1995	5/27/1999
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	9/4/2008
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	9/4/2008
Inactive	Federal Insurance Company	301144	Agent - General Lines	8/3/1992	3/31/1996
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	10/1/2001	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/1/2001	10/28/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/9/2011	6/26/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/9/2011	6/26/2018
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	9/3/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/5/1997	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	9/3/2002
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	9/23/2002	10/28/2010
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	8/22/2003	9/4/2008
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	8/22/2003	9/4/2008
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	8/22/2003	9/4/2008
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	8/22/2003	9/4/2008
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/5/1997	3/31/1998
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	9/9/2008	6/27/2012
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	9/9/2008	6/27/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/28/2009	8/31/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	12/27/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	7/24/1998	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	12/27/2011
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	12/1/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	7/24/1998	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	12/1/2003
Inactive	General American Life Insurance Company	300280	Agent - Health	8/31/2006	12/7/2007
Inactive	General American Life Insurance Company	300280	Agent - Life	8/31/2006	12/7/2007
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	8/31/2006	12/7/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/10/2008	1/5/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/10/2008	1/5/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/24/2011	1/5/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/24/2011	1/5/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/9/2002	11/1/2007
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/9/2002	11/1/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	9/23/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	9/23/2002	11/30/2007
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/5/1997	12/30/1999
Inactive	Granite State Insurance Company	300818	Agent - Casualty	7/13/2005	6/21/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	7/13/2005	6/21/2010
Inactive	Great American Assurance Company	300327	Agent - Casualty	11/26/2001	6/26/2018
Inactive	Great American Assurance Company	300327	Agent - Property	11/26/2001	6/26/2018
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	2/16/1996	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	3/11/2002
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	2/16/1996	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	3/11/2002
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	8/3/1992	3/31/1996
Inactive	Great West Casualty Company	301015	Agent - General Lines	8/17/1995	6/5/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	2/6/2004	10/1/2009
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	2/6/2004	10/1/2009
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	2/6/2004	10/1/2009
Inactive	GuideOne Insurance Company	301794	Agent - Property	2/6/2004	10/1/2009
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	2/6/2004	10/1/2009
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	2/6/2004	10/1/2009
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/23/2010	2/9/2012
Inactive	HCC Life Insurance Company	301827	Agent - Life	6/23/2010	2/9/2012
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	12/3/2009	2/27/2012
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	12/3/2009	2/27/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	3/13/2006
Inactive	Health Resources Inc.	301210	Agent - Health	3/1/2001	3/31/2003
Inactive	Health Resources Inc.	301210	Agent - Prepaid Dental Plan	4/21/1998	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/1991	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	11/1/1991	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/6/2010	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/6/2010	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/6/2010	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/6/2010	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/17/2004	11/26/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/17/2004	11/26/2007
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/18/2007	6/21/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/18/2007	6/21/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/15/2000	7/30/2001
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	6/6/1991	8/15/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/15/2000	7/30/2001
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	11/20/2009
Inactive	Insurance Company of North America	300226	Agent - General Lines	6/6/1991	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	11/20/2009
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	7/15/1998	6/21/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/15/1998	6/21/2016
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	7/24/1992	4/13/1999
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	11/30/2005	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	11/30/2005	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/14/1992	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/14/1992	4/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/25/2001	1/24/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/25/2001	1/24/2013
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/14/2005	7/19/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/14/2005	7/19/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/14/2005	12/31/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/14/2005	12/31/2010
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	11/23/2005	12/22/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/20/2010	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/6/2010	4/25/2013
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	7/15/2002	12/16/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	7/15/2002	12/16/2004
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	5/30/2008
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	12/16/1991	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	5/30/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	3/23/2004	4/21/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	3/23/2004	4/21/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	3/11/2008	8/6/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/24/1997	8/6/2008
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	3/3/2003	12/6/2007
Inactive	Lincoln General Insurance Company	301580	Agent - Property	3/3/2003	12/6/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2007	11/26/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2007	11/26/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	4/10/2007	11/26/2012
Inactive	Maryland Casualty Company	301719	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	9/23/2002	10/28/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	4/11/2006	12/7/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	8/31/2006	12/7/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/17/2006	2/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/17/2006	2/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	8/31/2006	2/19/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/30/2011	12/26/2012
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/9/2004
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	9/19/1994	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/9/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	7/30/2018	4/23/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	7/30/2018	4/23/2020
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	11/18/1991	6/12/2000
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	11/18/1991	6/12/2000
Inactive	New England Life Insurance Company	300343	Agent - Health	12/15/2003	8/26/2005
Inactive	New England Life Insurance Company	300343	Agent - Life	12/15/2003	8/26/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/8/2002	11/9/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/23/2002	10/28/2010
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	10/23/1995	3/31/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	10/23/1995	3/31/1997
Inactive	Old Republic General Insurance Corporation	300949	Agent - General Lines	6/24/1996	7/26/2000
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	8/15/2000	7/30/2001
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	6/6/1991	8/15/2000
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	8/15/2000	7/30/2001
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	8/3/1992	3/31/1996
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	12/22/2000	12/15/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	12/22/2000	12/15/2005
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Health	1/26/2004	5/1/2007
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Life	1/26/2004	5/1/2007
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	11/6/1991	12/1/2005
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	11/6/1991	12/1/2005
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	7/13/1993	10/7/1996
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	7/13/1993	10/7/1996
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	6/21/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	6/21/2010
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/8/1995	6/26/2018
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/8/1995	6/26/2018
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/30/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/9/1993	11/21/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/9/1993	11/21/2005
Inactive	Pruco Life Insurance Company	300954	Agent - Health	2/3/2011	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/3/2011	12/23/2014
Inactive	RLI Insurance Company	301217	Agent - Casualty	5/19/2008	1/3/2014
Inactive	RLI Insurance Company	301217	Agent - Property	5/19/2008	1/3/2014
Inactive	Redland Insurance Company	300687	Agent - General Lines	10/11/1996	8/15/2000
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	12/9/1999	9/27/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/9/1999	9/27/2008
Inactive	Security National Insurance Company	301151	Agent - General Lines	9/19/1995	3/31/1996
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	12/30/1998	12/15/2002
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	12/30/1998	12/15/2002
Inactive	Southland Life Insurance Company	301175	Agent - Life	7/9/1998	2/25/2003
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/22/2003	9/4/2008
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/22/2003	9/4/2008
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/22/2003	9/4/2008
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/22/2003	9/4/2008
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/22/2003	9/4/2008
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/22/2003	9/4/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2006	9/4/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2006	9/4/2008
Inactive	Standard Insurance Company	300185	Agent - Health	5/20/2010	6/26/2018
Inactive	Standard Insurance Company	300185	Agent - Life	5/20/2010	6/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	11/22/1999	3/13/2003
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	11/22/1999	3/13/2003
Inactive	State Life Insurance Company	301497	Agent - Health	6/14/2003	7/26/2005
Inactive	State Life Insurance Company	301497	Agent - Life	6/14/2003	7/26/2005
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	11/22/1993	3/31/1997
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	11/22/1993	3/31/1997
Inactive	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	12/22/1992	2/16/2006
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/7/2004	9/4/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/7/2004	9/4/2008
Inactive	Time Insurance Company	300683	Agent - Health	12/18/1991	6/13/2013
Inactive	Time Insurance Company	300683	Agent - Life	12/18/1991	6/13/2013
Inactive	TransGuard Insurance Company of America Inc.	301477	Agent - Casualty	8/15/2000	12/11/2006
Inactive	TransGuard Insurance Company of America Inc.	301477	Agent - General Lines	9/22/1999	8/15/2000
Inactive	TransGuard Insurance Company of America Inc.	301477	Agent - Property	8/15/2000	12/11/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/28/2009	1/29/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/28/2009	1/29/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/17/1995	10/16/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/17/1995	10/16/1996
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	12/9/2004
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	9/19/1994	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	12/9/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	12/9/2004
Inactive	Transportation Insurance Company	301575	Agent - General Lines	9/19/1994	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	12/9/2004
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	9/4/2008
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	9/4/2008
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/7/2004	9/4/2008
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	9/7/2004	9/4/2008
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	9/7/2004	9/4/2008
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	9/7/2004	9/4/2008
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	9/4/2008
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	9/4/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	9/4/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	9/4/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/7/2004	9/4/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/7/2004	9/4/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/7/2004	9/4/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/7/2004	9/4/2008
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/7/2004	9/4/2008
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/7/2004	9/4/2008
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/7/2004	9/4/2008
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/7/2004	9/4/2008
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	9/19/1995	3/31/1996
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	3/13/2006
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	2/15/2002	7/12/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/18/2005	10/4/2007
Inactive	UFG Specialty Insurance Company	300347	Agent - General Lines	4/18/1996	10/22/1999
Inactive	Union Central Life Insurance Company	300307	Agent - Health	12/21/1992	1/22/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Life	12/21/1992	1/22/2007
Inactive	Union Insurance Company	547433	Agent - Casualty	8/29/2007	6/27/2012
Inactive	Union Insurance Company	547433	Agent - Property	8/29/2007	6/27/2012
Inactive	United Fire and Indemnity Company	300736	Agent - General Lines	4/18/1996	10/22/1999
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/22/2003	9/4/2008
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/22/2003	9/4/2008
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	2/10/2010	6/26/2018
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	2/10/2010	6/26/2018
Inactive	United World Life Insurance Company	300532	Agent - Health	5/2/2005	12/17/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/30/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/30/2011	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/10/2001	11/22/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/10/2001	11/22/2005
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	12/9/2004
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	9/19/1994	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	12/9/2004
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	8/3/1992	3/31/1996
Inactive	Western Surety Company	300283	Agent - Casualty	1/14/2003	12/8/2011
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	10/16/1991	12/31/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	10/16/1991	12/31/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Advance Benefit Management Systems Inc	957237	Administrator - Not Applicable	7/21/2017	6/26/2018
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	6/19/2002	1/14/2014
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	3/5/2010	6/26/2018
Inactive	Medlink Inc	400721	Agent - Health	3/5/2010	6/26/2018
Inactive	Morgan Trevathan and Gunn Inc.	398365	Managing General Agent - Not Applicable	7/9/1992	3/31/2000
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Life	8/19/2008	8/26/2013
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Health	8/19/2008	8/26/2013
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Property	8/19/2008	8/26/2013
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Casualty	8/19/2008	8/26/2013
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003