DEPARTMENT OF INSURANCE

Affiliations

Name	Klima, Richard Douglas	DOIID	341049	NAIC NPN	553041

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	8/28/2000	3/1/2001
Inactive	Non Resident	Agent	Life	1/31/1996	9/30/2017
Inactive	Non Resident	Agent	Health	1/31/1996	9/30/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/24/2010	9/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/24/2010	9/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/24/2010	9/30/2017
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/25/2005	2/27/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/25/2005	2/27/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/5/1999	2/9/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/5/1999	2/9/2010
Inactive	Avemco Insurance Company	300669	Agent - Health	9/25/2003	6/15/2005
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/27/2000	4/9/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/27/2000	4/9/2003
Inactive	Canada Life Assurance Company	301192	Agent - Health	9/16/2003	12/14/2004
Inactive	Canada Life Assurance Company	301192	Agent - Life	9/16/2003	12/14/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/28/2009	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/28/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/28/2009	7/2/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/5/2014
Inactive	Garden State Life Insurance Company	300610	Agent - Health	1/31/1996	3/31/1997
Inactive	Garden State Life Insurance Company	300610	Agent - Life	1/31/1996	3/31/1997
Inactive	HCC Life Insurance Company	301827	Agent - Health	9/25/2003	9/11/2007
Inactive	HCC Life Insurance Company	301827	Agent - Life	9/25/2003	9/11/2007
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/14/2015	9/30/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/14/2015	9/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/14/2015	9/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/28/2000	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	4/11/1997	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Health	8/28/2000	9/30/2017
Inactive	Humana Insurance Company	300118	Agent - Life	4/11/1997	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	8/28/2000	9/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/14/2015	9/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/14/2015	9/30/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/14/2015	9/30/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/1/2011	2/23/2012
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	7/9/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/1/2004	7/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/14/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/14/2015	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007	7/29/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007	7/29/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/18/2002	9/30/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/18/2002	9/30/2017
Inactive	Trustmark Insurance Company	300317	Agent - Health	12/1/2009	9/30/2017
Inactive	Trustmark Insurance Company	300317	Agent - Life	12/1/2009	9/30/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/24/2003	9/30/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/7/2006	11/29/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/7/2006	11/29/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/7/2006	11/29/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/7/2006	11/29/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AON Consulting Inc.	603966	Agent - Life	2/28/2005	9/17/2008
Inactive	AON Consulting Inc.	603966	Agent - Health	2/28/2005	9/17/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/17/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/17/1999	6/23/2008