DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lilly, Richard Dean	DOIID	355791	NAIC NPN	1351455

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/26/2007	10/31/2012
Inactive	Non Resident	Agent	Life	9/15/1998	10/31/2012
Inactive	Non Resident	Agent	Health	9/15/1998	10/31/2012
Inactive	Non Resident	Agent	Property	1/26/2007	10/31/2012
* 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	Anthem Life Insurance Company	301209	Agent - Health	9/15/1998	10/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/15/1998	10/31/2012
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	5/15/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	5/15/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/15/2000	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/15/2000	10/24/2003
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	9/22/2009	12/15/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	9/22/2009	12/15/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/15/2000	10/24/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/15/2000	10/24/2003
Inactive	Westfield Insurance Company	301950	Agent - Casualty	9/24/2008	2/10/2012
Inactive	Westfield Insurance Company	301950	Agent - Property	9/24/2008	2/10/2012

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	11/30/1998	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/30/1998	6/23/2008
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life	5/24/2010	10/31/2012
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health	5/24/2010	10/31/2012
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Casualty	5/24/2010	2/10/2012
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Property	5/24/2010	2/10/2012
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Life	9/8/2008	3/2/2010
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Health	9/8/2008	3/2/2010
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Casualty	9/24/2008	3/2/2010
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Property	9/24/2008	3/2/2010