DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, John Timothy	DOIID	319392	NAIC NPN	7167496

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	11/27/2001	6/1/2014
Inactive	Resident	Agent	Life	5/16/1986	6/1/2014
Inactive	Resident	Agent	Casualty	11/27/2001	6/1/2014
Inactive	Resident	Agent	Health	5/16/1986	6/1/2014
* 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 Life Insurance Company	301209	Agent - Health	9/1/2005	6/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2005	6/1/2014
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	11/6/2006	3/23/2012
Inactive	Conseco Insurance Company	301202	Agent - Life	12/9/1999	10/3/2003
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/29/2010	9/26/2013
Inactive	First Colony Life Insurance Company	301179	Agent - Health	4/24/2000	7/19/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/24/2000	7/19/2004
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/29/2010	2/28/2013
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	9/16/2002	12/10/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/16/2002	12/10/2004
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	11/27/2001	12/11/2012
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	11/27/2001	12/11/2012
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/22/2001	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/22/2001	4/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/26/2004	5/21/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/26/2004	5/21/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/20/2009	11/10/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/20/2009	11/10/2010
Inactive	State Life Insurance Company	301497	Agent - Health	11/26/2001	6/1/2014
Inactive	State Life Insurance Company	301497	Agent - Life	11/26/2001	6/1/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/27/2010	11/12/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/27/2010	11/12/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/30/2006	11/12/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/30/2006	11/12/2012

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	8/31/2005	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/31/2005	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008	6/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008	6/1/2014
Denied	Senture LLC	731399	Agent - Life
Inactive	Senture LLC	731399	Agent - Health	9/20/2011	1/2/2013
Inactive	United Financial Services Inc	400566	Agent - Property	7/16/2009	12/11/2012
Inactive	United Financial Services Inc	400566	Agent - Casualty	7/16/2009	12/11/2012