DEPARTMENT OF INSURANCE

Affiliations

Name	Tanner, William David	DOIID	332256	NAIC NPN	931816

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/4/1988	12/1/2000
Inactive	Resident	Agent	Health	3/4/1988	12/1/2000
Inactive	Resident	Agent	General Lines	12/19/1988	7/9/1998
Inactive	Resident	Agent	Limited Line Credit	4/20/2009	2/28/2015
* 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	Augustar Life Assurance Corporation	301113	Agent - Health	7/1/1998	12/1/2000
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	7/1/1998	12/1/2000
Inactive	Augustar Life Insurance Company	301816	Agent - Health	7/1/1998	12/1/2000
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/1/1998	12/1/2000
Inactive	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	4/20/2009	2/20/2015
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	3/14/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	3/14/1996	3/31/1997
Inactive	Combined Insurance Company of America	301472	Agent - Health	7/10/1996	12/1/2000
Inactive	Combined Insurance Company of America	301472	Agent - Life	7/10/1996	12/1/2000
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/30/1996	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/30/1996	12/31/1998
Inactive	Continental Casualty Company	301019	Agent - Health	1/27/1997	12/1/2000
Inactive	Continental General Insurance Company	300691	Agent - Health	9/4/1996	5/18/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	9/4/1996	5/18/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/5/1996	11/5/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/5/1996	11/5/1998
Inactive	Great American Casualty Insurance Company	301764	Agent - General Lines	3/18/1997	7/9/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/27/1994	1/13/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/27/1994	1/13/2000
Inactive	LM General Insurance Company	300133	Agent - General Lines	1/4/1989	4/7/1997
Inactive	LM Property and Casualty Insurance Company	301658	Agent - General Lines	12/19/1988	4/7/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/2/1998	12/1/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	11/27/1996	12/1/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	11/27/1996	12/1/2000
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	4/29/1997	12/1/2000
Inactive	Pruco Life Insurance Company	300954	Agent - Health	3/23/1988	3/31/1997
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/23/1988	3/31/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Health	3/4/1988	3/31/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Life	3/4/1988	3/31/1997
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - General Lines	3/18/1997	7/9/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/18/1997	7/9/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/18/1997	7/9/1998
Inactive	Trustmark Insurance Company	300317	Agent - Health	2/1/1995	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	2/1/1995	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Health	10/20/1994	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Life	10/20/1994	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	4/21/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	4/21/1995	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	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	12/1/2000
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	12/1/2000