DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cupps, Nancy Dale	DOIID	355637	NAIC NPN	7193970

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/26/2006	2/1/2010
Inactive	Resident	Agent	Life	10/26/2006	2/1/2010
Inactive	Resident	Agent	Health Maintenance Organization	2/12/1993	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 Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	1/31/2006
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	2/12/1993	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/13/1998	1/31/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/14/2007	2/1/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/14/2007	2/1/2010
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	2/12/1993	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	2/12/1993	3/31/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	3/29/1995	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	3/29/1995	2/10/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/19/1993	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/19/1993	2/28/2003