DEPARTMENT OF INSURANCE

Affiliations

Name	McDonald, Christine Eisaman	DOIID	328774	NAIC NPN	7175729

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/13/1991	2/28/2010
Inactive	Resident	Agent	Health	8/13/1991	2/28/2010
Inactive	Resident	Agent	Health Maintenance Organization	3/16/1993	3/1/2001
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American United Life Insurance Company	300498	Agent - Health	4/27/1995	12/29/1998
Inactive	American United Life Insurance Company	300498	Agent - Life	4/27/1995	12/29/1998
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/16/1993	3/1/2001
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	2/14/1992	1/6/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	2/14/1992	1/6/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/5/1994	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/5/1994	4/1/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/24/1991	11/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/24/1991	11/12/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	8/13/1991	2/28/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	8/13/1991	2/28/2000
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/25/1991	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/25/1991	3/31/1997
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	2/28/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	2/28/2010
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	12/18/1991	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	12/18/1991	3/31/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	5/7/1997	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	5/7/1997	11/19/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	6/23/1992	12/19/2001
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	6/23/1992	12/19/2001
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	8/23/1994	12/31/1998
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	8/23/1994	12/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Barry K. Clark & Associates Inc.	400423	Agent - Life	9/14/1992	3/31/2009
Inactive	Barry K. Clark & Associates Inc.	400423	Agent - Health	9/14/1992	3/31/2009
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Insurance One Inc.	399840	Agent - Life	3/16/1993	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	3/16/1993	5/31/2004