DEPARTMENT OF INSURANCE

Affiliations

Name	Baumgartner, David R	DOIID	355801	NAIC NPN	638691

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	1/10/2003	2/1/2024
Inactive	Resident	Agent	Health	1/10/2003	2/1/2024
Inactive	Resident	Agent	Health Maintenance Organization	8/6/1996	7/14/1997
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/11/2005	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/11/2005	11/22/2007
Inactive	American Fidelity Assurance Company	301004	Agent - Health	1/17/2005	7/10/2006
Inactive	American Fidelity Assurance Company	301004	Agent - Life	1/17/2005	7/10/2006
Inactive	American General Life Insurance Company	301585	Agent - Health	3/15/2004	5/6/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	3/15/2004	5/6/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	1/23/1995	7/1/1998
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	1/23/1995	7/1/1998
Inactive	American Public Life Insurance Company	300252	Agent - Health	11/5/2003	9/20/2005
Inactive	American Public Life Insurance Company	300252	Agent - Life	11/5/2003	9/20/2005
Inactive	American United Life Insurance Company	300498	Agent - Health	12/29/2004	5/17/2015
Inactive	American United Life Insurance Company	300498	Agent - Life	12/29/2004	5/17/2015
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/8/2003	10/23/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	11/8/2003	10/23/2006
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/31/2004	2/1/2024
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/22/2003	12/21/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/22/2003	12/21/2011
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/30/2004	4/1/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/11/2010	7/14/2014
Inactive	Continental Casualty Company	301019	Agent - Health	10/13/1993	7/1/1998
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/14/2014
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	8/18/2004	4/10/2008
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	8/19/2004	4/10/2008
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/26/2004	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/26/2004	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/7/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/22/2003	5/24/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/22/2003	5/24/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/22/2013	6/26/2019
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/22/2013	6/26/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/3/2003	7/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/6/1996	7/14/1997
Inactive	Humana Insurance Company	300118	Agent - Health	8/3/1996	7/14/1997
Inactive	Humana Insurance Company	301104	Agent - Health	4/3/2003	7/14/2014
Inactive	Humana Insurance Company	300118	Agent - Life	8/3/1996	7/14/1997
Inactive	Humana Insurance Company	301104	Agent - Life	4/3/2003	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/31/2007	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/31/2007	7/14/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/11/2010	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/11/2010	2/23/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/21/1995	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/21/1995	3/31/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/14/2005	8/8/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/14/2005	8/8/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	4/19/2005	8/8/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/19/2005	8/8/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	4/14/2005	8/8/2006
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	2/5/2003	1/23/2008
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	2/5/2003	1/23/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007	2/1/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007	2/1/2024
Inactive	MONY Life Insurance Company	301141	Agent - Health	5/18/1993	6/16/1997
Inactive	MONY Life Insurance Company	301141	Agent - Life	5/18/1993	6/16/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/30/2005	11/4/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/30/2005	11/4/2009
Inactive	Nassau Life Insurance Company	301406	Agent - Health	2/2/1996	7/1/1998
Inactive	Nassau Life Insurance Company	301406	Agent - Life	2/2/1996	7/1/1998
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	1/26/1994	3/31/1997
Inactive	PHL Variable Insurance Company	300525	Agent - Health	1/18/1995	7/1/1998
Inactive	PHL Variable Insurance Company	300525	Agent - Life	1/18/1995	7/1/1998
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/19/2003	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/19/2003	11/25/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/16/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/11/1993	7/1/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/11/1993	7/1/1998
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	1/28/2004	6/9/2022
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	1/28/2004	6/9/2022
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	1/26/1994	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	1/26/1994	3/31/1997
Inactive	Transamerica Assurance Company	300893	Agent - Health	9/10/1996	9/10/1996
Inactive	Transamerica Assurance Company	300893	Agent - Life	9/10/1996	9/10/1996
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	9/10/1996	7/1/1998
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/10/1996	7/1/1998
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/10/1996	7/1/1998
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/16/2004	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/16/2004	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/16/2004	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/16/2004	12/14/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/1/2022	2/1/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/1/2022	2/1/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/1/2022	2/1/2024
Inactive	Energy Ins Agency Inc	398833	Agent - Life	2/27/2003	12/27/2012
Inactive	Energy Ins Agency Inc	398833	Agent - Health	2/27/2003	12/27/2012
Inactive	Pike & Preston, LLC	544898	Agent - Life	9/15/2011	5/6/2021
Inactive	Pike & Preston, LLC	544898	Agent - Health	2/3/2020	5/6/2021