DEPARTMENT OF INSURANCE

Affiliations

Name	Mills, Terry Lee	DOIID	331143	NAIC NPN	7178186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	8/31/2008
Inactive	Resident	Agent	Health	4/13/1984	8/31/2008
Inactive	Resident	Agent	Health Maintenance Organization	4/19/1993	3/1/2001
Inactive	Resident	Agent	Life	4/13/1984	8/31/2008
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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	11/13/2003	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/13/2003	11/20/2007
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	10/12/1995	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	10/12/1995	12/16/1996
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/10/2003	8/31/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/10/2003	8/31/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	3/24/2005	8/31/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	3/24/2005	8/31/2008
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	4/9/2007	10/16/2007
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	4/9/2007	10/16/2007
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Health	4/18/1996	5/1/2007
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	4/18/1996	5/1/2007
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	4/19/1993	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/27/2000	8/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/27/2000	8/31/2008
Inactive	Athene Annuity and Life Company	301893	Agent - Health	11/4/1992	2/3/1997
Inactive	Athene Annuity and Life Company	301893	Agent - Life	11/4/1992	2/3/1997
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/4/2003	8/31/2008
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/14/2001	8/31/2008
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	10/31/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	10/31/2006
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/19/1991	1/6/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/7/2007	10/14/2008
Inactive	C.M. Life Insurance Company	301335	Agent - Health	12/31/1996	8/31/2008
Inactive	C.M. Life Insurance Company	301335	Agent - Life	12/31/1996	8/31/2008
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	4/29/2002	9/26/2006
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	4/19/2006
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	2/10/1997	3/1/2001
Inactive	Celtic Insurance Company	300877	Agent - Health	10/22/1992	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	10/22/1992	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/18/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/18/1996	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	11/21/1991	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	11/21/1991	3/31/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	4/17/1996	3/10/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	4/17/1996	3/10/1998
Inactive	Continental General Insurance Company	300691	Agent - Health	3/12/1991	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	3/12/1991	3/31/1997
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/14/2007	8/31/2008
Inactive	Encova Life Insurance Company	301818	Agent - Life	3/25/2003	12/12/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/22/1987	12/20/2006
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	10/16/2003	8/31/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	10/16/2003	8/31/2008
Inactive	Gerber Life Insurance Company	300529	Agent - Health	5/24/2001	11/8/2002
Inactive	Gerber Life Insurance Company	300529	Agent - Life	5/24/2001	11/8/2002
Inactive	Grange Life Insurance Company	300128	Agent - Health	3/15/2003	8/31/2008
Inactive	Grange Life Insurance Company	300128	Agent - Life	3/15/2003	8/31/2008
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/6/1986	10/31/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/6/1986	10/31/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	8/31/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/4/1994	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	2/10/1995	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/1996	8/31/2008
Inactive	Humana Insurance Company	300118	Agent - Life	2/10/1995	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	12/19/1996	8/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/29/2007	8/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/29/2007	8/31/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/26/2007	8/31/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/26/2007	8/31/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/10/1996	4/23/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/10/1996	4/23/1998
Inactive	Integrity Life Insurance Company	301687	Agent - Life	11/1/2006	8/31/2008
Inactive	Integrity Life Insurance Company	301687	Agent - Variable Life and Variable Annuities	11/1/2006	8/31/2008
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	8/1/1996	1/17/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	8/1/1996	1/17/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	3/27/2003	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	3/27/2003	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	3/27/2003	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	3/27/2003	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/27/2003	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	3/27/2003	4/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/9/2001	8/31/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/9/2001	8/31/2008
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	8/18/1994	8/21/2006
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	8/18/1994	8/21/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/23/2004	8/31/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/23/2004	8/31/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	11/23/2004	8/31/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/16/2003	7/21/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/16/2003	7/21/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	4/2/2007	7/21/2008
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	5/20/1986	8/31/2008
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	5/20/1986	8/31/2008
Inactive	MML Bay State Life Insurance Company	301198	Agent - Variable Life and Variable Annuities	4/29/2002	9/26/2006
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	2/3/1998	10/11/1999
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	2/3/1998	10/11/1999
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/13/1984	8/31/2008
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	4/13/1984	8/31/2008
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	4/29/2002	9/29/2006
Inactive	MedAmerica Insurance Company	301568	Agent - Health	3/26/2004	8/31/2008
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	1/11/2005	12/7/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/10/1995	10/14/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/10/1995	10/14/2008
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	11/19/1997	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	11/19/1997	3/31/2001
Inactive	Nassau Life Insurance Company	301406	Agent - Health	10/20/1997	2/13/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	10/20/1997	2/13/2004
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Health	3/12/1996	12/31/1998
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Life	3/12/1996	12/31/1998
Inactive	PHL Variable Insurance Company	300525	Agent - Health	7/27/1999	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	7/27/1999	2/13/2004
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/17/1986	3/1/2005
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/17/1986	3/1/2005
Inactive	Protective Life Insurance Company	300638	Agent - Health	9/27/1991	1/30/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	8/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/5/2002	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/5/2002	10/24/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/23/1997	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/23/1997	9/16/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	4/16/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	4/16/2007
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	9/9/2002	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	9/9/2002	10/1/2003
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	4/18/1994	7/20/1998
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	4/18/1994	7/20/1998
Inactive	State Life Insurance Company	301497	Agent - Health	7/29/2003	1/31/2007
Inactive	State Life Insurance Company	301497	Agent - Life	7/29/2003	1/31/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/3/2002	10/3/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/12/1992	12/9/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/12/1992	12/9/2005
Inactive	Union Bankers Insurance Company	301769	Agent - Health	5/17/1993	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Life	5/17/1993	3/31/1997
Inactive	Union Central Life Insurance Company	300307	Agent - Health	4/5/2000	8/31/2008
Inactive	Union Central Life Insurance Company	300307	Agent - Life	4/5/2000	8/31/2008
Inactive	Union Central Life Insurance Company	300307	Agent - Variable Life and Variable Annuities	5/31/2001	8/31/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/13/1995	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/13/1995	11/21/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/1995	3/31/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	11/21/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	10/27/1999	3/1/2001
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	6/28/2004	8/31/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	6/28/2004	8/31/2008
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	5/3/1984	3/31/1997
Inactive		300277	Agent - Life	5/23/2003	1/1/2007

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	9/8/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/8/1999	6/23/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/8/2005	8/31/2008
Inactive	Fsb Ins Agency Inc	676948	Agent - Life	4/28/2008	8/31/2008
Inactive	Fsb Ins Agency Inc	676948	Agent - Health	4/28/2008	8/31/2008
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Insurance One Inc.	399840	Agent - Life	10/21/1991	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	10/21/1991	5/31/2004
Inactive	Medlink Inc	400721	Agent - Life	11/9/2007	8/31/2008
Inactive	Medlink Inc	400721	Agent - Health	11/9/2007	8/31/2008
Inactive	Multi-Service Corporation	400132	Agent - Life	3/3/2003	8/31/2008
Inactive	Multi-Service Corporation	400132	Agent - Health	3/3/2003	8/31/2008
Inactive	Spectrum Financial Alliance Ltd LLC	514029	Agent - Life	8/28/2007	7/14/2008
Inactive	Spectrum Financial Alliance Ltd LLC	514029	Agent - Health	8/28/2007	7/14/2008