DEPARTMENT OF INSURANCE

Affiliations

Name	Conrad, Richard M	DOIID	321084	NAIC NPN	7168256

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	1/25/2007
Inactive	Resident	Agent	Health	3/24/2008	5/1/2010
Inactive	Resident	Agent	Credit Life & Health	10/13/1998	8/7/2000
Inactive	Resident	Agent	Life	3/24/2008	5/1/2010
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/8/2008	5/1/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/8/2008	5/1/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/29/2008	5/1/2010
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/8/2009	5/1/2010
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	4/24/2008	5/1/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/18/2008	5/1/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	4/18/2008	5/1/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/30/2008	5/1/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Life	10/30/2008	5/1/2010
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/12/2004	11/2/2006
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	4/23/2008	6/9/2009
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	4/23/2008	6/9/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/15/2008	5/1/2010
Inactive	National Western Life Insurance Company	301515	Agent - Life	4/3/2008	6/22/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	4/16/2008	5/1/2010
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/16/2008	5/1/2010
Inactive	SILAC Insurance Company	300535	Agent - Health	5/14/2008	12/15/2009
Inactive	SILAC Insurance Company	300535	Agent - Life	5/14/2008	12/15/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	4/4/2008	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	4/4/2008	3/31/2009
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	10/19/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	1/25/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	4/2/2008	5/1/2010
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	4/2/2008	5/1/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	4/15/2008	5/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	5/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	5/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Don Jacobs Used Car Center, LLC	590462	Agent - Limited Line Credit	6/1/2004	1/25/2007
Inactive	Frank Shoop Inc.	401002	Agent - Credit Life & Health	10/13/1998	8/7/2000
Inactive	Frank Shoop Inc.	401002	Agent - Limited Line Credit	8/7/2000	2/26/2003