DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haney, Donald P	DOIID	321153	NAIC NPN	7168310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/19/1994	7/1/1998
Inactive	Resident	Agent	Life	5/19/1994	7/1/1998
Inactive	Resident	Agent	Health Maintenance Organization	7/31/1996	7/1/1998
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	5/19/1994	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	5/19/1994	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/1/1994	7/1/1998
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/25/1996	1/27/1997
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/25/1996	1/27/1997
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/8/1995	7/1/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/31/1996	7/1/1998
Inactive	Humana Insurance Company	300118	Agent - Health	7/31/1996	7/1/1998
Inactive	Humana Insurance Company	300118	Agent - Life	7/31/1996	7/1/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/18/1995	5/28/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/18/1995	5/28/1998

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	1/23/1996	7/1/1998
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	1/23/1996	7/1/1998
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997