DEPARTMENT OF INSURANCE

Affiliations

Name	Higgs, Kelli Jo	DOIID	330815	NAIC NPN	7177599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	2/4/1997	6/28/1999
Inactive	Resident	Agent	Health	7/27/1994	6/28/1999
Inactive	Resident	Agent	Life	7/27/1994	6/28/1999
* 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 Heritage Life Insurance Company	300272	Agent - Health	5/29/1996	6/28/1999
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/29/1996	6/28/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/28/1998	6/28/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/28/1998	6/28/1999
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	1/29/1996	10/5/1998
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	1/29/1996	10/5/1998
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	12/9/1996	6/28/1999
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	12/9/1996	6/28/1999
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	6/17/1996	6/28/1999
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	6/17/1996	6/28/1999
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/7/1996	6/28/1999
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/7/1996	6/28/1999
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/7/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/7/1995	3/31/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/4/1997	6/28/1999
Inactive	Humana Insurance Company	301104	Agent - Health	6/24/1996	6/28/1999
Inactive	Humana Insurance Company	300118	Agent - Health	3/17/1997	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	6/24/1996	6/28/1999
Inactive	Humana Insurance Company	300118	Agent - Life	3/17/1997	12/31/1998
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/25/1995	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/25/1995	3/31/1999
Inactive	National Health Insurance Company	300554	Agent - Health	6/12/1995	5/28/1996
Inactive	National Health Insurance Company	300554	Agent - Life	6/12/1995	5/28/1996
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Health	9/29/1994	3/4/1996
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Life	9/29/1994	3/4/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	2/29/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	2/29/1996	3/31/1997
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	7/27/1994	6/28/1999
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	7/27/1994	6/28/1999

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	6/25/1996	6/28/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	6/28/1999
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Life	9/13/1997	10/23/1997
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Health	9/13/1997	10/23/1997