DEPARTMENT OF INSURANCE

Affiliations

Name	Greene, David Fontaine	DOIID	328570	NAIC NPN	548740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/20/2021		11/30/2026
Active	Non Resident	Agent	Health	3/2/2018		11/30/2026
Active	Non Resident	Agent	Life	3/2/2018		11/30/2026
Active	Non Resident	Agent	Casualty	10/20/2021		11/30/2026
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	5/8/1998	8/25/1998
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	5/8/1998	8/25/1998
* 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
Active	Accendo Insurance Company	300312	Agent - Life	3/12/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/28/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/12/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	7/28/2023
Inactive	All American Life Insurance Company	300702	Agent - Life	11/10/1998	12/1/2000
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/30/1998	12/1/2000
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/30/1998	12/1/2000
Inactive	American General Life Insurance Company	301585	Agent - Health	6/20/2022	10/4/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	6/20/2022	10/4/2023
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	8/25/1998	12/28/1998
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	8/25/1998	12/28/1998
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Debit (Temporary Health)	5/8/1998	8/25/1998
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Ordinary Life (Temporary Life)	5/8/1998	8/25/1998
Active	American National Insurance Company	301861	Agent - Life	11/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/11/1998	12/1/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/11/1998	12/1/2000
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/29/2023	12/12/2024
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/23/2018	10/22/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/12/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/12/2021
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	11/2/1998	12/1/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	12/31/1998	12/1/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	12/31/1998	12/1/2000
Inactive	Midland National Life Insurance Company	300923	Agent - Health	10/30/1998	7/3/2000
Inactive	Midland National Life Insurance Company	300923	Agent - Life	10/30/1998	7/3/2000
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/13/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/3/2023	8/15/2023
Inactive	Oakwood Insurance Company	300453	Agent - Property	8/25/1998	12/28/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	2/24/1999	6/14/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	2/24/1999	6/14/1999
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	11/19/1998	12/1/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	11/19/1998	12/1/2000
Active	Protective Life Insurance Company	300638	Agent - Health	8/4/2020
Active	Protective Life Insurance Company	300638	Agent - Life	8/4/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/24/1999	6/14/1999
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/24/1999	6/14/1999
Active	Royal Neighbors of America	301646	Agent - Life	6/26/2020
Active	SilverScript Insurance Company	663526	Agent - Health	7/28/2023
Inactive	Trinity Life Insurance Company	552459	Agent - Life	3/5/2020	12/15/2020
Inactive	United American Insurance Company	300910	Agent - Health	11/15/2019	3/2/2021
Inactive	United American Insurance Company	300910	Agent - Life	11/15/2019	3/2/2021
Inactive	United Home Life Insurance Company	300421	Agent - Life	8/25/2020	10/19/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	7/3/2023	8/15/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/19/2010	11/30/2010
Inactive	Wilco Life Insurance Company	300122	Agent - Life	11/2/1998	12/1/2000

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	11/19/1998	12/1/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/19/1998	12/1/2000