DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Donner, Richard L	DOIID	324112	NAIC NPN	990304

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/9/1993	12/31/2003
Inactive	Non Resident	Agent	Health	3/9/1993	12/31/2003
* 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	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	1/31/2002	12/31/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/27/2000	12/31/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/27/2000	12/31/2003
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	4/13/2001	12/31/2003
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	4/13/2001	12/31/2003
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	3/9/1993	12/31/2003
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	3/9/1993	12/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kapnick & Company, Inc.	518040	Agent - Life	11/14/2000	12/31/2003
Inactive	Kapnick & Company, Inc.	518040	Agent - Health	11/14/2000	12/31/2003