DEPARTMENT OF INSURANCE

Affiliations

Name	Long, Carol Howton	DOIID	322407	NAIC NPN	5947673

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	8/7/1989	3/2/1999
Inactive	Resident	Agent	Health	4/23/1991	3/31/2004
Inactive	Resident	Agent	Life	4/23/1991	3/31/2004
* 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	American Bankers Life Assurance Company of Florida	300171	Agent - Health	4/23/1991	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	4/23/1991	12/16/1996
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	8/21/1997	3/31/2004
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	8/21/1997	3/31/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/10/1995	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/1995	6/7/2000
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/1/1993	4/9/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	3/1/1993	4/9/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	3/1/1993	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/1/1993	3/31/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	3/26/1996	9/10/1996
Inactive	Conseco Health Insurance Company	301725	Agent - Life	3/26/1996	9/10/1996
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/21/1998	3/31/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/21/1998	3/31/2004
Inactive	HM Life Insurance Company	301408	Agent - Health	9/24/1991	3/31/2004
Inactive	HM Life Insurance Company	301408	Agent - Life	9/24/1991	3/31/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/7/1989	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/1996	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	12/19/1996	3/2/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	6/15/1992	3/31/2004
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	6/15/1992	3/31/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/5/1997	1/10/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/5/1997	1/10/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/8/1994	3/31/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/8/1994	3/31/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/4/2001	3/31/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/4/2001	3/31/2004
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/30/2001	3/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	9/25/1995	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	9/25/1995	2/28/2003