DEPARTMENT OF INSURANCE

Affiliations

Name	Etheredge, David A	DOIID	336967	NAIC NPN	1890999

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	8/21/1985	3/1/2001
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	1/31/2022
Inactive	Resident	Agent	Property	8/15/2000	1/31/2022
Inactive	Resident	Agent	Health	10/6/1983	1/31/2022
Inactive	Resident	Agent	Life	10/6/1983	1/31/2022
Inactive	Resident	Agent	Casualty	8/15/2000	1/31/2022
Inactive	Resident	Agent	General Lines	5/1/1984	8/15/2000
* 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	5 Star Life Insurance Company	300673	Agent - Life	12/9/1999	3/12/2001
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	5/1/2020	2/4/2021
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	5/1/2020	2/4/2021
Inactive	AIG Assurance Company	300897	Agent - Casualty	4/26/2007	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	4/26/2007	10/2/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/30/1996	1/30/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/30/1996	1/30/2010
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	12/1/2015	3/19/2019
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	12/1/2015	3/19/2019
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	10/10/2005	11/11/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/9/2007	3/31/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/9/2007	3/31/2008
Inactive	American Fidelity Assurance Company	301004	Agent - Health	12/10/2002	12/21/2005
Inactive	American Fidelity Assurance Company	301004	Agent - Life	12/10/2002	12/21/2005
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	9/23/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	9/23/2010
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Casualty	8/15/2000	4/23/2007
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	2/12/1997	8/15/2000
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Property	8/15/2000	4/23/2007
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/6/2011	12/9/2011
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/6/2011	12/9/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/13/1999	12/28/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/13/1999	12/28/2009
Inactive	Assurance Company of America	300432	Agent - Casualty	10/6/2011	12/9/2011
Inactive	Assurance Company of America	300432	Agent - Property	10/6/2011	12/9/2011
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/28/2011	5/8/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/31/2011	3/20/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/31/2011	3/20/2017
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/9/2011	1/31/2022
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	5/1/1984	8/15/2000
Inactive	Bedivere Insurance Company	300710	Agent - Property	8/15/2000	11/22/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Variable Life and Variable Annuities	7/1/2004	8/2/2005
Inactive	Boston Old Colony Insurance Company	300720	Agent - General Lines	3/13/1997	3/31/1998
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/17/2007	4/25/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/17/2007	4/25/2019
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	3/13/1997	3/31/1998
Inactive	Celtic Insurance Company	300877	Agent - Health	2/9/1995	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	2/9/1995	3/31/1997
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	10/31/2011	12/5/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	3/13/1997	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	10/31/2011	12/5/2013
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/26/1991	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/26/1991	3/31/1997
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	5/8/2017	1/31/2022
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	5/8/2017	1/31/2022
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	3/13/1997	3/31/1998
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/11/2016	8/11/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/28/2011	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/28/2011	7/2/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	9/23/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	9/23/2010
Inactive	Continental Casualty Company	301019	Agent - Health	8/5/1998	11/29/2004
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	3/13/1997	3/31/1998
Inactive	Countryway Insurance Company	300809	Agent - Casualty	1/3/2001	4/26/2007
Inactive	Countryway Insurance Company	300809	Agent - Property	1/3/2001	4/26/2007
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/5/2002	11/7/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/11/2016	8/11/2016
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	4/29/2005	8/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	4/29/2005	8/23/2012
Inactive	Farmington Casualty Company	301137	Agent - Casualty	10/31/2011	12/5/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	10/31/2011	12/5/2013
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/2/1993	3/31/1997
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	3/13/1997	3/31/1998
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	10/9/2006	4/20/2011
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	3/13/1997	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - General Lines	6/19/1992	5/9/1996
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/19/2004	4/25/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/19/2004	4/25/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	4/22/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	4/22/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	4/22/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	4/22/2013	8/29/2018
Inactive	General American Life Insurance Company	300280	Agent - Health	7/31/2003	1/16/2004
Inactive	General American Life Insurance Company	300280	Agent - Life	7/31/2003	1/16/2004
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	7/31/2003	1/16/2004
Inactive	General Insurance Company of America	300261	Agent - General Lines	6/19/1992	5/9/1996
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/11/2008	3/27/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/11/2008	3/27/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/11/2008	3/27/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/11/2008	3/27/2008
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	3/13/1997	3/31/1998
Inactive	Globe American Casualty Company	301033	Agent - Casualty	8/15/2000	10/7/2002
Inactive	Globe American Casualty Company	301033	Agent - General Lines	9/19/1995	8/15/2000
Inactive	Globe American Casualty Company	301033	Agent - Property	8/15/2000	10/7/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/20/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/20/2005	11/10/2008
Inactive	Grain Dealers Mutual Insurance Company	300867	Agent - General Lines	8/30/1993	3/31/1998
Inactive	Granite State Insurance Company	300818	Agent - Casualty	4/26/2007	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	4/26/2007	10/2/2010
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/3/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/5/2008
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/27/2015	8/11/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	8/11/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/21/1985	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	4/23/1991	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	4/23/1991	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/27/2015	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/27/2015	8/11/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/8/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/8/2012	12/19/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/21/1999	12/16/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/21/1999	12/16/2002
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	4/26/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	4/26/2007	10/2/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	9/23/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	9/23/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/20/1984	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/20/1984	3/31/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/27/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/27/2015	10/22/2015
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	3/13/1997	3/31/1998
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	10/13/2011	1/31/2022
Inactive	Kentucky National Insurance Company	301625	Agent - Property	10/13/2011	1/31/2022
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/30/1996	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/30/1996	8/2/2002
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	12/11/2003	4/18/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	12/11/2003	4/18/2006
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	11/9/1998	3/21/2001
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	11/9/1998	3/21/2001
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/6/2011	12/9/2011
Inactive	Maryland Casualty Company	301719	Agent - Property	10/6/2011	12/9/2011
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/4/2000	12/15/2003
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/2/2000	1/16/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/2/2000	1/16/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	3/21/2001	1/16/2004
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/12/2019	1/31/2022
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/12/2019	1/31/2022
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	1/13/2012	1/31/2022
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	1/13/2012	1/31/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/1/2009	12/15/2011
Inactive	Nassau Life Insurance Company	301406	Agent - Health	7/27/1995	8/16/1999
Inactive	Nassau Life Insurance Company	301406	Agent - Life	7/27/1995	8/16/1999
Inactive	National Health Insurance Company	300554	Agent - Health	1/23/1995	5/28/1996
Inactive	National Health Insurance Company	300554	Agent - Life	1/23/1995	5/28/1996
Inactive	National Insurance Association	301386	Agent - Casualty	8/15/2000	8/8/2003
Inactive	National Insurance Association	301386	Agent - General Lines	4/7/1998	8/15/2000
Inactive	National Insurance Association	301386	Agent - Property	8/15/2000	8/8/2003
Inactive	National-Ben Franklin Insurance Company of Illinois	300803	Agent - General Lines	3/13/1997	3/31/1998
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	9/23/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	9/23/2010
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/10/2011	9/29/2015
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/6/2011	12/9/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/6/2011	12/9/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	9/23/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	9/23/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	9/23/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	9/23/2010
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	10/16/1997	4/16/2001
Inactive	Omni Insurance Company	301545	Agent - General Lines	12/11/1992	3/31/2000
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	9/23/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	9/23/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	9/23/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	9/23/2010
Inactive	Pennsylvania Insurance Company	301219	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	5/1/1984	8/15/2000
Inactive	Pennsylvania Insurance Company	301219	Agent - Property	8/15/2000	11/22/2004
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	5/23/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/23/1997	5/23/2005
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	3/3/1994	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	3/3/1994	3/31/1997
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	1/11/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	1/11/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/25/2004	7/20/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/25/2004	7/20/2021
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	11/26/2007
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	4/1/1999	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	11/26/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	7/20/2021
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	4/1/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	7/20/2021
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	4/1/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	12/28/2005
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	2/23/2001	11/26/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	2/23/2001	11/26/2007
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - General Lines	12/3/1999	8/15/2000
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	8/15/2000	11/5/2008
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/24/2004	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/24/2004	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	11/24/2004	11/23/2009
Inactive	Providence Washington Insurance Company	301160	Agent - General Lines	10/28/1992	2/24/1997
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/27/2008	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/27/2008	12/23/2014
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/8/1998	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/8/1998	9/3/2004
Inactive	Rural Community Insurance Company	301891	Agent - Property	10/9/2006	4/20/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/17/2013	12/18/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	6/19/1992	5/9/1996
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/17/2013	12/18/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/17/2013	12/18/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	6/19/1992	5/9/1996
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/17/2013	12/18/2014
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	6/19/1992	5/9/1996
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/5/2012	12/17/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/5/2012	12/17/2014
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/15/2015	1/31/2022
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	10/31/2011	12/5/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	10/31/2011	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	10/31/2011	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	10/31/2011	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	10/31/2011	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	10/31/2011	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/31/2011	3/20/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	10/31/2011	3/20/2017
Inactive	Star Casualty Insurance Company	681448	Agent - Casualty	8/13/2010	12/30/2013
Inactive	Symetra Life Insurance Company	301691	Agent - Health	7/13/1993	3/25/1996
Inactive	Symetra Life Insurance Company	301691	Agent - Life	7/13/1993	3/25/1996
Inactive	Texas Life Insurance Company	300345	Agent - Life	11/19/2003	1/14/2011
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	10/31/2011	3/20/2017
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	3/13/1997	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	10/31/2011	3/20/2017
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	12/7/2016	6/23/2017
Inactive	Time Insurance Company	300683	Agent - Health	10/22/1996	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	10/22/1996	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/8/2009	1/29/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/8/2009	1/29/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/17/1995	10/16/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/17/1995	10/16/1996
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	9/15/2003
Inactive	TravCo Insurance Company	301828	Agent - General Lines	3/13/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	9/15/2003
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	9/15/2003
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	9/15/2003
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	10/31/2011	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	10/31/2011	12/5/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	10/31/2011	12/5/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	10/31/2011	12/5/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	10/31/2011	12/5/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	10/31/2011	12/5/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	10/31/2011	12/14/2016
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	10/31/2011	12/14/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	10/31/2011	3/20/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	10/31/2011	3/20/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	10/31/2011	12/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	3/13/1997	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	10/31/2011	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	10/31/2011	3/20/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	10/31/2011	3/20/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	10/31/2011	12/5/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	10/31/2011	12/5/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/31/2011	12/5/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	10/31/2011	12/5/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	9/15/2003
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	9/15/2003
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005	10/8/2014
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/23/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	11/6/2004
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	11/6/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/5/2012	12/17/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/3/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/5/2012	12/17/2014
Inactive	Union Security Insurance Company	301844	Agent - Health	7/23/1986	4/9/1999
Inactive	Union Security Insurance Company	301844	Agent - Life	7/23/1986	4/9/1999
Inactive	United Financial Casualty Company	301886	Agent - Casualty	1/31/2006	7/20/2021
Inactive	United Financial Casualty Company	301886	Agent - Property	1/31/2006	7/20/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/1/2009	12/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/1/2009	12/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	6/1/2009	12/15/2011
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/13/1996	7/22/1999
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/13/1996	7/22/1999
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	2/23/2007	7/28/2017
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	2/23/2007	7/28/2017
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	2/23/2007	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	2/23/2007	12/2/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	9/23/2010
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	9/23/2010
Inactive	West Coast Life Insurance Company	301607	Agent - Life	3/31/2004	12/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - General Lines	7/1/1993	8/15/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Property	8/15/2000	5/31/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Casualty	8/15/2000	12/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/17/1999	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/17/1999	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	12/30/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	12/30/2009
Inactive	Etheredge Insurance Inc.	761475	Agent - Health	8/20/2011	3/31/2017
Inactive	Etheredge Insurance Inc.	761475	Agent - Life	8/20/2011	3/31/2017
Inactive	Etheredge Insurance Inc.	761475	Agent - Property	8/20/2011	3/31/2017
Inactive	Etheredge Insurance Inc.	761475	Agent - Casualty	8/20/2011	3/31/2017
Inactive	Grant Insurance Agency, LLC	745474	Agent - Health	11/23/2011	3/31/2019
Inactive	Grant Insurance Agency, LLC	745474	Agent - Life	11/23/2011	3/31/2019
Inactive	Grant Insurance Agency, LLC	745474	Agent - Property	11/23/2011	3/31/2019
Inactive	Grant Insurance Agency, LLC	745474	Agent - Casualty	11/23/2011	3/31/2019
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Health	5/8/2017	6/17/2021
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Life	5/8/2017	6/17/2021
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Property	5/8/2017	6/17/2021
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Casualty	5/8/2017	6/17/2021
Inactive	Medlink Inc	400721	Agent - Health	7/26/2012	1/31/2022
Inactive	Medlink Inc	400721	Agent - Life	7/26/2012	1/31/2022
Inactive	Shepherd Insurance, LLC	774397	Agent - Health	6/6/2018	5/24/2021
Inactive	Shepherd Insurance, LLC	774397	Agent - Life	6/6/2018	5/24/2021
Inactive	Shepherd Insurance, LLC	774397	Agent - Property	6/6/2018	5/24/2021
Inactive	Shepherd Insurance, LLC	774397	Agent - Casualty	6/6/2018	5/24/2021