DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tatum, Carolyn J	DOIID	343627	NAIC NPN	7188633

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/20/1981	8/15/2012
Inactive	Resident	Agent	Life	10/20/1981	8/15/2012
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/20/1981	8/15/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/20/1981	8/15/2012
Inactive	Forethought Life Insurance Company	301407	Agent - Life	5/17/2001	8/15/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997