DEPARTMENT OF INSURANCE

Affiliations

Name	Stephens, Don W	DOIID	334412	NAIC NPN	3990252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/13/1998	7/31/2003
Inactive	Resident	Agent	Life	5/13/1998	7/31/2003
Inactive	Resident	Agent	Health Maintenance Organization	10/19/1998	3/1/2001
Inactive	Resident	Agent	General Lines	8/6/1996	8/15/2000
Inactive	Resident	Agent	Property	12/14/2000	12/11/2002
Inactive	Resident	Agent	Casualty	1/31/2001	12/11/2002
* 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 Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	5/14/1998	8/15/2000
Inactive	American National Insurance Company	301861	Agent - Health	5/13/1998	12/14/2001
Inactive	American National Insurance Company	301861	Agent - Life	5/13/1998	12/14/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/17/1998	5/7/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/17/1998	5/7/2001
Inactive	Assurance Company of America	300432	Agent - Casualty	12/14/2000	12/11/2002
Inactive	Assurance Company of America	300432	Agent - Property	12/14/2000	12/11/2002
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	3/12/2001	11/26/2001
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	3/12/2001	11/26/2001
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	3/12/2001	11/26/2001
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	3/12/2001	11/26/2001
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	8/2/1999	12/11/2002
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	8/2/1999	12/11/2002
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	8/6/1996	3/31/1998
Inactive	Continental Casualty Company	301019	Agent - General Lines	5/14/1998	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	8/6/1996	3/31/1998
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	1/31/2001	3/22/2002
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/11/2001	6/13/2002
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	8/6/1996	3/31/1998
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	12/14/2000	12/11/2002
Inactive	Glatfelter Insurance Company	301640	Agent - Property	12/14/2000	12/11/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/23/2001	12/11/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	7/23/2001	12/11/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/23/2001	12/11/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/23/2001	12/11/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/23/2001	12/11/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/23/2001	12/11/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	7/23/2001	12/11/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	7/23/2001	12/11/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/23/2001	12/11/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	7/23/2001	12/11/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	4/12/2000	7/25/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	4/12/2000	7/25/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	1/31/2001	3/22/2002
Inactive	Inter-State Assurance Company	301556	Agent - Life	7/20/1999	5/18/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	12/9/1999	7/31/2003
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	12/9/1999	7/31/2003
Inactive	Maryland Casualty Company	301719	Agent - Casualty	12/14/2000	12/11/2002
Inactive	Maryland Casualty Company	301719	Agent - Property	12/14/2000	12/11/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	5/14/1998	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	12/14/2000	12/11/2002
Inactive	Northern Insurance Company of New York	301317	Agent - Property	12/14/2000	12/11/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	2/10/2000	7/31/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/10/2000	7/31/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	3/12/2001	11/26/2001
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	3/12/2001	11/26/2001
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	3/12/2001	11/26/2001
Inactive	The Phoenix Insurance Company	301502	Agent - Property	3/12/2001	11/26/2001
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	5/14/1998	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - General Lines	5/14/1998	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Casualty	3/12/2001	11/26/2001
Inactive	TravCo Insurance Company	301828	Agent - Property	3/12/2001	11/26/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/12/2001	11/26/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/12/2001	11/26/2001
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/23/2001	12/11/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/23/2001	12/11/2002
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/2/1998	7/31/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/2/1998	7/31/2003
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	7/31/2003
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	10/19/1998	3/1/2001
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	5/14/1998	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	1/31/2001	3/22/2002

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	5/26/1998	5/7/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/26/1998	5/7/2001
Inactive	Kentucky American Insurance Group LLC	399916	Agent - Life	7/19/2000	2/26/2003
Inactive	Kentucky American Insurance Group LLC	399916	Agent - Health	7/19/2000	2/26/2003