DEPARTMENT OF INSURANCE

Affiliations

Name	Giese, Christopher Mark	DOIID	328119	NAIC NPN	3346166

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	6/8/2011	11/16/2011
Inactive	Resident	Agent	Health	10/20/1999	7/1/2002
Inactive	Resident	Agent	Life	10/20/1999	7/1/2002
Inactive	Resident	Agent	Property	6/8/2011	11/16/2011
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/20/1999	7/1/2002
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/20/1999	7/1/2002
Inactive	American National General Insurance Company	301944	Agent - Casualty	5/29/2001	6/27/2002
Inactive	American National General Insurance Company	301944	Agent - Property	5/29/2001	6/27/2002
Inactive	American National Insurance Company	301861	Agent - Health	5/18/2001	7/1/2002
Inactive	American National Insurance Company	301861	Agent - Life	5/18/2001	7/1/2002
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	5/29/2001	6/27/2002
Inactive	American National Property and Casualty Company	300392	Agent - Property	5/29/2001	6/27/2002
Inactive	Continental General Insurance Company	300691	Agent - Health	2/18/2000	7/1/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	2/18/2000	7/1/2002
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/30/2000	7/1/2002
Inactive	MHA Insurance Company	620475	Agent - Casualty	8/20/2008	5/1/2011
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	6/30/2000	11/16/2001
Inactive	ProAssurance Casualty Company	300928	Agent - Casualty	5/26/2010	5/1/2011
Inactive	ProAssurance Casualty Company	300928	Agent - Property	5/26/2010	5/1/2011
Inactive	Safety National Casualty Corporation	300390	Agent - Casualty	7/24/2008	5/1/2011
Inactive	Safety National Casualty Corporation	300390	Agent - Property	7/24/2008	5/1/2011
Inactive	Time Insurance Company	300683	Agent - Health	6/30/2000	7/1/2002
Inactive	Time Insurance Company	300683	Agent - Life	6/30/2000	7/1/2002
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	9/1/2011	11/16/2011
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	9/1/2011	11/16/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/22/2007	5/1/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/22/2007	5/1/2011
Inactive	Wilco Life Insurance Company	300122	Agent - Life	2/9/2000	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Property	1/29/2007	5/1/2011
Inactive	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Casualty	1/29/2007	5/1/2011