DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cheesman, Gary Dean	DOIID	316580	NAIC NPN	244819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/29/1995	11/30/2004
Inactive	Non Resident	Agent	Life	4/27/1995	11/30/2004
Inactive	Non Resident	Agent	Health	4/27/1995	11/30/2004
* 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	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/27/1995	4/9/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	4/27/1995	4/9/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	4/18/1997	4/9/2003
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	4/18/1997	4/9/2003
Inactive	Universal Insurance Services Inc.	396250	Administrator - Not Applicable	6/29/1995	11/30/2004