DEPARTMENT OF INSURANCE

Affiliations

Name	Eubank, Mark Douglas	DOIID	329461	NAIC NPN	138667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	1/17/1997	3/2/1999
Inactive	Resident	Agent	Life	3/17/1993	12/1/2000
Inactive	Resident	Agent	Health	3/17/1993	12/1/2000
* 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	12/29/1994	10/15/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/29/1994	10/15/1998
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/11/1995	12/1/2000
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/11/1995	12/1/2000
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	5/11/1995	12/1/2000
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	5/11/1995	12/1/2000
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	3/27/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	3/27/1996	3/31/1997
Inactive	Columbus Life Insurance Company	301227	Agent - Health	3/16/1994	11/12/1999
Inactive	Columbus Life Insurance Company	301227	Agent - Life	3/16/1994	11/12/1999
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/24/1997	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/24/1997	12/31/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	1/17/1997	3/2/1999
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/12/1997	4/23/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/12/1997	4/23/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	5/31/1995	2/19/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	5/31/1995	2/19/1999
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	4/7/1993	3/31/1997
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	4/7/1993	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Health	3/17/1993	4/2/1999
Inactive	Midland National Life Insurance Company	300923	Agent - Life	3/17/1993	4/2/1999
Inactive	National Travelers Life Company	300304	Agent - Health	9/25/1997	10/4/1999
Inactive	National Travelers Life Company	300304	Agent - Life	9/25/1997	10/4/1999
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/17/1995	12/1/2000
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/17/1995	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/28/1993	9/5/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/28/1993	9/5/2000
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/17/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/17/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	8/6/1993	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	8/6/1993	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Insurance Group Inc.	401305	Agent - Life	9/15/1995	1/19/1999
Inactive	First Insurance Group Inc.	401305	Agent - Health	9/15/1995	1/19/1999