DEPARTMENT OF INSURANCE

Affiliations

Name	Longworth, Judi Juanita	DOIID	339246	NAIC NPN	1502888

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	2/15/1995	11/12/1999
Inactive	Resident	Agent	Life	2/15/1995	11/12/1999
* 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	Centennial Life Insurance Company (The)	301561	Agent - Health	12/19/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/19/1995	3/31/1997
Inactive	Conseco Insurance Company	301202	Agent - Health	2/20/1997	10/22/1997
Inactive	Conseco Insurance Company	301202	Agent - Life	2/20/1997	10/22/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	7/25/1995	10/22/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	7/25/1995	10/22/1997
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	2/7/1997	11/12/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/7/1997	11/12/1999
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/3/1996	3/31/1997
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/3/1996	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/3/1995	10/22/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/3/1995	10/22/1997
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/2/1995	3/31/1997
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/2/1995	3/31/1997
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	1/11/1996	10/22/1997
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	1/11/1996	10/22/1997
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	2/15/1995	10/22/1997
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	2/15/1995	10/22/1997
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	10/17/1995	2/24/1997
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	10/17/1995	2/24/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	5/24/1995	10/22/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	5/24/1995	10/22/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	10/3/1995	10/22/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	10/3/1995	10/22/1997
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/8/1995	10/22/1997
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/8/1995	10/22/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	9/26/1995	10/22/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	9/26/1995	10/22/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Health	6/7/1995	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Life	6/7/1995	3/31/1997
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	1/30/1996	3/31/1997
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	1/30/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/21/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/21/1996	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	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	10/22/1997
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	10/22/1997
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997