DEPARTMENT OF INSURANCE

Affiliations

Name	Hampton, Mary A	DOIID	353803	NAIC NPN	771723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	11/20/1990	7/6/1999
Inactive	Resident	Agent	Life	9/27/1988	7/6/1999
Inactive	Resident	Agent	Health	9/27/1988	7/6/1999
Inactive	Resident	Agent	Health Maintenance Organization	2/10/1997	7/6/1999
* 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	Aetna Life Insurance Company	301140	Agent - Health	7/14/1997	7/6/1999
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/14/1997	7/6/1999
Inactive	American Economy Insurance Company	300315	Agent - General Lines	9/18/1992	7/6/1999
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	9/25/1996	7/6/1999
Inactive	American States Insurance Company	301230	Agent - General Lines	9/18/1992	7/6/1999
Inactive	American States Life Insurance Company	301884	Agent - Health	9/27/1988	7/6/1999
Inactive	American States Life Insurance Company	301884	Agent - Life	9/27/1988	7/6/1999
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	9/18/1992	7/6/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/23/1998	7/6/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/23/1998	7/6/1999
Inactive	Assurance Company of America	300432	Agent - General Lines	6/12/1996	7/6/1999
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	8/20/1996	12/29/1997
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	8/20/1996	12/29/1997
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	5/6/1999	7/6/1999
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	2/10/1997	7/6/1999
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	2/9/1999	7/6/1999
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	2/9/1999	7/6/1999
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	11/9/1992	9/3/1996
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	4/7/1998	7/6/1999
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	5/16/1996	5/26/1998
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	12/3/1991	3/31/1997
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/3/1991	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/24/1996	7/6/1999
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	7/6/1999
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	7/6/1999
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	6/12/1996	7/6/1999
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/16/1994	7/6/1999
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	9/25/1996	7/6/1999
Inactive	Inter-State Assurance Company	301556	Agent - Life	5/24/1999	7/6/1999
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/17/1998	7/6/1999
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	4/17/1998	7/6/1999
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/9/1998	8/5/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/9/1998	8/5/1998
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - General Lines	7/16/1996	7/6/1999
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	11/20/1990	4/10/1996
Inactive	Maryland Casualty Company	301719	Agent - General Lines	6/12/1996	7/6/1999
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	6/7/1996	5/26/1998
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Health	4/15/1996	3/31/1997
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Life	4/15/1996	3/31/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/15/1996	5/26/1998
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/15/1996	5/26/1998
Inactive	RLI Insurance Company	301217	Agent - General Lines	7/2/1997	7/6/1999
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	4/10/1997	7/6/1999
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	4/10/1997	7/6/1999
Inactive	Reliance Insurance Company	300785	Agent - General Lines	9/23/1991	7/6/1999
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	7/6/1999
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	7/6/1999
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	7/6/1999
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	7/6/1999
Inactive	Texas Life Insurance Company	300345	Agent - Life	6/25/1997	7/7/1998
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	11/9/1992	9/3/1996
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	11/9/1992	9/3/1996
Inactive	United American Insurance Company	300910	Agent - Health	11/8/1996	12/31/1998
Inactive	United American Insurance Company	300910	Agent - Life	11/8/1996	12/31/1998
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	10/6/1992	3/31/1998
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/30/1997	7/6/1999
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/30/1997	7/6/1999
Inactive	Western Surety Company	300283	Agent - General Lines	5/21/1996	7/6/1999
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	4/10/1997	7/6/1999
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	4/10/1997	7/6/1999

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	3/12/1998	7/6/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/12/1998	7/6/1999
Inactive	Baughman Ins Agy Inc.	399504	Agent - General Lines	11/14/1994	4/4/1996
Inactive	Baughman Ins Agy Inc.	399504	Agent - Life	11/14/1994	4/4/1996
Inactive	Baughman Ins Agy Inc.	399504	Agent - Health	11/14/1994	4/4/1996
Inactive	Hampton Insurance LLC	399890	Agent - Health Maintenance Organization	2/10/1997	7/6/1999
Inactive	Hampton Insurance LLC	399890	Agent - General Lines	2/10/1997	7/6/1999
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997