DEPARTMENT OF INSURANCE

Affiliations

Name	Baker, Galt Marion John	DOIID	322544	NAIC NPN	1319190

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/3/2013	11/30/2014
Inactive	Non Resident	Agent	Life	1/3/2013	11/30/2014
Inactive	Non Resident	Agent	Health Maintenance Organization	4/20/1999	3/1/2001
* 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	12/10/1998	12/1/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/10/1998	12/1/2005
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	5/16/2003	1/9/2006
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	3/18/2003	1/9/2006
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	3/18/2003	1/9/2006
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/15/2010	11/30/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/15/2010	11/30/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/20/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2010	11/30/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/15/2010	11/30/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/17/2014	11/30/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/17/2014	11/30/2014
Inactive	Standard Insurance Company	300185	Agent - Health	1/3/2013	11/30/2014
Inactive	Standard Insurance Company	300185	Agent - Life	1/3/2013	11/30/2014
Inactive	Union Security Insurance Company	301844	Agent - Health	10/4/1999	11/30/2010
Inactive	Union Security Insurance Company	301844	Agent - Life	10/4/1999	11/30/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/19/2008	11/30/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/19/2008	11/30/2010
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/19/2008	11/30/2010
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/19/2008	11/30/2010

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	12/28/1998	2/28/2007
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/28/1998	2/28/2007
Inactive	Medlink Inc	400721	Agent - Life	9/12/2002	11/30/2010
Inactive	Medlink Inc	400721	Agent - Health	9/12/2002	11/30/2010