DEPARTMENT OF INSURANCE

Affiliations

Name	Bradford, Dale H	DOIID	343431	NAIC NPN	2778529

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/26/2009	2/2/2012
Inactive	Non Resident	Agent	Health	3/26/2009	2/2/2012
Inactive	Non Resident	Agent	Health Maintenance Organization	11/12/1998	3/1/2001
* 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	Anthem Life Insurance Company	301209	Agent - Health	5/18/1999	12/31/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/18/1999	12/31/2006
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/16/2009	3/14/2012
Inactive	DentiCare, Inc.	300655	Agent - Health	5/16/2003	11/1/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	7/23/2004	11/14/2006
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/23/2004	11/14/2006
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	11/12/1998	2/6/1999
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/16/2009	3/14/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	12/31/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/16/2009	3/14/2012
Inactive	Humana Insurance Company	301104	Agent - Life	9/16/2009	3/14/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/16/2009	3/14/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/16/2009	3/14/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/16/2009	3/14/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/16/2009	3/14/2012
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/30/2003	12/31/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	4/30/2003	12/31/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/16/2009	3/14/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/16/2009	3/14/2012
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	2/18/1999	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	2/18/1999	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	2/18/1999	3/1/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	11/27/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	11/27/2000	12/11/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/23/2003	12/22/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/23/2003	12/22/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/27/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/27/2000	12/11/2002
Inactive	Standard Insurance Company	300185	Agent - Health	5/24/2002	12/31/2006
Inactive	Standard Insurance Company	300185	Agent - Life	5/24/2002	12/31/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/4/1999	12/31/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/4/1999	12/31/2006
Inactive	Union Security Insurance Company	301844	Agent - Health	6/19/2000	12/31/2006
Inactive	Union Security Insurance Company	301844	Agent - Life	6/19/2000	12/31/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/2/2000	11/22/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/2/2000	11/22/2005

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	3/15/1999	2/28/2007
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/15/1999	2/28/2007
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	6/21/2004	12/31/2006
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	6/21/2004	12/31/2006
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	9/9/2003	12/31/2006
Inactive	The Scheller Bradford Group Inc	708039	Agent - Life	9/16/2009	2/2/2012
Inactive	The Scheller Bradford Group Inc	708039	Agent - Health	9/16/2009	2/2/2012