DEPARTMENT OF INSURANCE

Affiliations

Name	Graham, Jay Allen	DOIID	323640	NAIC NPN	367580

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	2/4/1993	3/1/2001
Inactive	Resident	Agent	Life	11/16/1990	9/1/2009
Inactive	Resident	Agent	Health	11/16/1990	9/1/2009
* 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	2/19/2001	3/4/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/19/2001	3/4/2002
Inactive	American United Life Insurance Company	300498	Agent - Health	4/25/1995	1/23/2007
Inactive	American United Life Insurance Company	300498	Agent - Life	4/25/1995	1/23/2007
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	1/22/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	2/4/1993	3/1/2001
Inactive	Centre Life Insurance Company	300341	Agent - Health	11/16/1995	3/31/1997
Inactive	Indianapolis Life Insurance Company	301381	Agent - Health	2/23/1996	12/9/1996
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	2/23/1996	12/9/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Health	11/29/1995	3/4/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	11/29/1995	3/4/2002
Inactive	MBL Life Assurance Corporation	301299	Agent - Health	3/7/1995	7/12/1999
Inactive	MBL Life Assurance Corporation	301299	Agent - Life	3/7/1995	7/12/1999
Inactive	Manhattan Life Insurance Company	300880	Agent - Life	6/26/1995	3/31/1997
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	11/8/1993	10/27/1997
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	11/8/1993	10/27/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	11/16/1990	9/1/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	11/16/1990	9/1/2009
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	2/21/1996	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	2/21/1996	1/3/2003
Inactive	Securian Life Insurance Company	300757	Agent - Health	9/20/1995	3/31/1999
Inactive	Securian Life Insurance Company	300757	Agent - Life	9/20/1995	3/31/1999
Inactive	Time Insurance Company	300683	Agent - Health	4/29/1994	11/13/1996
Inactive	Time Insurance Company	300683	Agent - Life	4/29/1994	11/13/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/16/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/16/1995	3/31/1997
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	2/21/1996	11/17/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	2/21/1996	11/17/2000

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	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003
Inactive	Mutual Benefit Marketing Group Inc.	398685	Agent - Life	1/29/1996	2/14/2003
Inactive	Mutual Benefit Marketing Group Inc.	398685	Agent - Health	1/29/1996	2/14/2003