DEPARTMENT OF INSURANCE

Affiliations

Name	Ware, Cynthia W	DOIID	331068	NAIC NPN	1488093

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/18/1993	4/30/2021
Inactive	Resident	Agent	Health	10/18/1993	4/30/2021
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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/7/2000	12/30/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/7/2000	12/30/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/19/2008	5/14/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/19/2008	5/14/2009
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	7/1/1998	5/28/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	7/1/1998	5/28/2002
Inactive	C.M. Life Insurance Company	301335	Agent - Health	1/16/2001	1/13/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Life	1/16/2001	1/13/2004
Inactive	Continental Casualty Company	301019	Agent - Health	3/15/1995	11/29/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	11/8/1996	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	11/8/1996	12/26/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/23/2000	12/11/2018
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/23/2000	12/11/2018
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/8/2000	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/8/2000	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/18/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/18/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/29/2008	10/23/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/29/2008	10/23/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	7/3/2007	10/26/2009
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	9/10/2009	11/9/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	9/10/2009	11/9/2012
Inactive	MedAmerica Insurance Company	301568	Agent - Health	2/5/2004	6/23/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/17/2004	2/10/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/17/2004	2/10/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/8/2010	1/11/2012
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	9/13/2004	11/27/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	9/13/2004	11/27/2008
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	6/24/1997	1/12/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	6/24/1997	1/12/1998
Inactive	State Life Insurance Company	301497	Agent - Health	10/1/2002	4/30/2021
Inactive	State Life Insurance Company	301497	Agent - Life	10/1/2002	4/30/2021
Inactive	Time Insurance Company	300683	Agent - Health	4/8/1996	11/20/2002
Inactive	Time Insurance Company	300683	Agent - Life	4/8/1996	11/20/2002
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	8/3/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	8/3/2011
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/26/1995	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/26/1995	10/1/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/12/1996	12/2/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/12/1996	12/2/2005
Inactive	Union Bankers Insurance Company	301769	Agent - Health	2/25/1997	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	2/25/1997	6/12/1998
Inactive	Union Security Insurance Company	301844	Agent - Health	7/29/1998	11/25/2002
Inactive	United American Insurance Company	300910	Agent - Health	7/1/1998	12/21/1999
Inactive	United American Insurance Company	300910	Agent - Life	7/1/1998	12/21/1999
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/8/2010	1/11/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/8/2010	1/11/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	5/12/1998	7/24/1998
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	5/12/1998	7/24/1998