DEPARTMENT OF INSURANCE

Affiliations

Name	Kirby, Richard Scott	DOIID	356092	NAIC NPN	3476741

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		3/31/2025
Active	Resident	Agent	Health	3/29/1993		3/31/2025
Active	Resident	Agent	Life	3/29/1993		3/31/2025
Active	Resident	Agent	Variable Life and Variable Annuities	8/16/2002		3/31/2025
Active	Resident	Agent	Casualty	8/15/2000		3/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	1/28/1999	3/1/2001
Inactive	Resident	Agent	General Lines	4/21/1993	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AXIS Insurance Company	301290	Agent - Health	7/13/2011
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/28/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	5/28/2024
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	8/11/1998	8/13/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/11/1998	8/13/2003
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/6/2004
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	7/16/1997	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/6/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/8/2015	10/7/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/8/2015	10/7/2019
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	6/6/2007	2/23/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	6/6/2007	2/23/2017
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/15/2000	10/31/2002
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - General Lines	9/16/1999	8/15/2000
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/15/2000	10/31/2002
Active	American Heritage Life Insurance Company	300272	Agent - Health	3/3/2010
Active	American Heritage Life Insurance Company	300272	Agent - Life	3/3/2010
Active	American Home Assurance Company	300246	Agent - Casualty	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - General Lines	4/24/2000	8/15/2000
Active	American Home Assurance Company	300246	Agent - Property	8/15/2000
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Active	American United Life Insurance Company	300498	Agent - Health	11/30/2012
Active	American United Life Insurance Company	300498	Agent - Life	11/30/2012
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/15/2000	10/31/2002
Inactive	American Zurich Insurance Company	300592	Agent - General Lines	9/16/1999	8/15/2000
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/15/2000	10/31/2002
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	4/1/2019	1/1/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	4/1/2019	1/1/2022
Inactive	Assurance Company of America	300432	Agent - General Lines	8/11/1993	3/31/1996
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/20/2019	11/4/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/20/2019	11/4/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/2/2011	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/2/2011	10/12/2020
Inactive	Boston Old Colony Insurance Company	300720	Agent - General Lines	7/16/1997	3/31/1998
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	7/16/1997	3/31/1998
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/1/2002	12/20/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/1/2002	12/20/2018
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/15/2009
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/15/2009
Active	Combined Insurance Company of America	301472	Agent - Health	11/16/2010
Active	Combined Insurance Company of America	301472	Agent - Life	11/16/2010
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	7/16/1997	3/31/1998
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/14/2015	12/13/2016
Active	CompBenefits Insurance Company	301864	Agent - Health	4/21/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/16/2010	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/7/2007	11/12/2010
Inactive	Companion Life Insurance Company	300191	Agent - Life	6/7/2007	11/12/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	2/23/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	2/23/2017
Active	Continental American Insurance Company	301700	Agent - Health	8/17/2020
Active	Continental American Insurance Company	301700	Agent - Life	8/17/2020
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/6/2004
Inactive	Continental Casualty Company	301019	Agent - General Lines	7/16/1997	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/6/2004
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	9/3/2002
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	7/16/1997	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	9/3/2002
Active	Dearborn Life Insurance Company	300401	Agent - Health	6/24/2015
Active	Dearborn Life Insurance Company	300401	Agent - Life	6/24/2015
Active	Dental Care Plus Inc.	301495	Agent - Health	6/30/2009
Active	Dental Concern Inc. (The)	301641	Agent - Health	4/21/2021
Inactive	EMC National Life Company	300388	Agent - Health	7/23/2013	11/1/2017
Inactive	EMC National Life Company	300388	Agent - Life	7/23/2013	11/1/2017
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	9/17/2015
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	9/17/2015
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	7/18/2013	9/17/2015
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	7/18/2013	9/17/2015
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/8/2008	11/7/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/8/2008	11/7/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/19/2011	11/7/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/19/2011	11/7/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/14/2010
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/14/2010
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	8/29/2012
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	8/29/2012
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	9/3/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	7/16/1997	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	9/3/2002
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	7/16/1997	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	2/23/2017
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	2/23/2017
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	2/23/2017
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	2/23/2017
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/15/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/15/2009	12/7/2012
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	7/16/1997	12/30/1999
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/2/2005	2/11/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/2/2005	2/11/2009
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/17/2012
Active	Grange Indemnity Insurance Company	300793	Agent - Property	4/17/2012
Active	Grange Insurance Company	300234	Agent - Casualty	4/17/2012
Active	Grange Insurance Company	300234	Agent - Property	4/17/2012
Inactive	Grange Life Insurance Company	300128	Agent - Health	3/13/2017	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	3/13/2017	3/31/2021
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/17/2012
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/17/2012
Inactive	Great American Insurance Company	301586	Agent - General Lines	4/21/1993	3/31/1996
Inactive	Great American Spirit Insurance Company	300233	Agent - General Lines	8/31/1993	3/31/1996
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/2/2011
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/2/2011
Inactive	HM Life Insurance Company	301408	Agent - Health	8/7/2009	12/30/2020
Inactive	HM Life Insurance Company	301408	Agent - Life	8/7/2009	12/30/2020
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	7/18/2013	9/17/2015
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	7/18/2013	9/17/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/25/2018	9/25/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	8/20/1993	10/5/1999
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	2/25/2018	9/25/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/31/2000	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/31/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/16/2012	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/16/2012	12/17/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/31/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/31/2000	11/5/2008
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/20/2013
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/20/2013
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/31/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/31/2000	11/5/2008
Active	Health Resources Inc.	301210	Agent - Health	5/10/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/7/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/7/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	10/7/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	1/28/1999	3/1/2001
Active	Humana Insurance Company	301104	Agent - Health	1/28/1999
Active	Humana Insurance Company	301104	Agent - Life	1/28/1999
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	4/20/2021
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	4/20/2021
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/7/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/7/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/23/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/23/2012	12/19/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/23/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/23/2017
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/15/2000
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - General Lines	4/24/2000	8/15/2000
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/15/2000
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/15/1993	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/15/1993	3/31/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/24/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	4/25/2013
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	4/8/2003	12/16/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	7/16/1997	12/30/1999
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	4/8/2003	12/16/2004
Active	Kansas City Life Insurance Company	301444	Agent - Life	5/1/2019
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	5/13/2021	11/18/2022
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	5/13/2021	11/18/2022
Active	Life Insurance Company of North America	300711	Agent - Health	9/14/2010
Active	Life Insurance Company of North America	300711	Agent - Life	9/14/2010
Inactive	LifeUSA Insurance Company	300386	Agent - Health	8/11/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	8/11/1998	8/2/2002
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/27/2012
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/27/2012
Inactive	Maryland Casualty Company	301719	Agent - General Lines	8/11/1993	3/31/1996
Inactive	Medical Life Insurance Company	300693	Agent - Health	3/4/2002	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	3/4/2002	12/31/2004
Active	Metropolitan Life Insurance Company	301948	Agent - Health	12/26/2012
Active	Metropolitan Life Insurance Company	301948	Agent - Life	12/26/2012
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	5/4/2000	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	5/4/2000	3/31/2001
Inactive	National Casualty Company	301483	Agent - Casualty	8/15/2000	2/20/2002
Inactive	National Casualty Company	301483	Agent - General Lines	6/10/1998	8/15/2000
Inactive	National Casualty Company	301483	Agent - Property	8/15/2000	2/20/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/6/2004
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	7/16/1997	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/6/2004
Active	National Guardian Life Insurance Company	300596	Agent - Health	8/13/2021
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	4/24/2000	8/15/2000
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/22/2008
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000
Inactive	National-Ben Franklin Insurance Company of Illinois	300803	Agent - General Lines	7/16/1997	3/31/1998
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/16/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/16/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	2/23/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	2/23/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	8/14/2013	1/7/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/14/2013	1/7/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/6/2007	2/23/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	6/6/2007	2/23/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	6/6/2007	2/23/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	6/6/2007	2/23/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	2/23/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	2/23/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	2/23/2017
Inactive	Peerless Insurance Company	301910	Agent - General Lines	4/11/1994	3/31/1996
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	2/23/2017
Active	Principal Life Insurance Company	300129	Agent - Health	8/17/1998
Active	Principal Life Insurance Company	300129	Agent - Life	8/17/1998
Inactive	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	8/16/2002	12/17/2003
Active	Principal National Life Insurance Company	301926	Agent - Life	5/7/2014
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	8/31/2000	11/5/2008
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	8/31/2000	11/5/2008
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/13/1999	12/29/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/13/1999	12/29/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/21/2015	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/21/2015	7/29/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/30/2003	12/22/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/30/2003	12/22/2008
Active	Prudential Insurance Company of America	300784	Agent - Health	5/15/2000
Active	Prudential Insurance Company of America	300784	Agent - Life	5/15/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/17/1998	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/17/1998	1/3/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/27/2001	8/5/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/27/2001	8/5/2016
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	9/27/2001	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	9/27/2001	6/25/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	1/30/2019
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	1/30/2019
Active	Reserve National Insurance Company	301073	Agent - Health	3/8/2022
Active	Reserve National Insurance Company	301073	Agent - Life	3/8/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	2/23/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	2/23/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	2/23/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	2/23/2017
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	1/28/1998	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	1/28/1998	10/1/2003
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/21/2010	12/12/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/21/2010	12/12/2012
Active	Standard Insurance Company	300185	Agent - Health	3/24/2009
Active	Standard Insurance Company	300185	Agent - Life	3/24/2009
Inactive	Star Insurance Company	301553	Agent - Casualty	8/15/2000	4/30/2003
Inactive	Star Insurance Company	301553	Agent - General Lines	1/31/2000	8/15/2000
Inactive	Star Insurance Company	301553	Agent - Property	8/15/2000	4/30/2003
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	12/27/2011	12/22/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	12/27/2011	12/22/2023
Active	Superior Dental Care Inc.	300418	Agent - Health	11/10/2016
Active	Symetra Life Insurance Company	301691	Agent - Health	8/30/2016
Active	Symetra Life Insurance Company	301691	Agent - Life	8/30/2016
Active	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	8/30/2016
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	8/2/2013	12/19/2014
Inactive	Time Insurance Company	300683	Agent - Health	9/16/2014	11/25/2019
Inactive	Time Insurance Company	300683	Agent - Life	9/16/2014	11/25/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	9/22/2009
Active	Transamerica Life Insurance Company	300571	Agent - Life	9/22/2009
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	3/6/2000	7/22/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	3/6/2000	7/22/2003
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	12/6/2004
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	7/16/1997	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	12/6/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	12/6/2004
Inactive	Transportation Insurance Company	301575	Agent - General Lines	7/19/1997	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	12/6/2004
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/18/2003
Active	Travelers Indemnity Company (The)	301855	Agent - Property	8/18/2003
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/1/2002	12/14/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/1/2002	12/14/2016
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/1/2002
Active	Travelers Property Casualty Company of America	301649	Agent - Property	4/1/2002
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	5/21/2014	12/17/2014
Inactive	Trumbull Insurance Company	300242	Agent - Property	5/21/2014	12/17/2014
Active	Trustgard Insurance Company	300104	Agent - Casualty	4/17/2012
Active	Trustgard Insurance Company	300104	Agent - Property	4/17/2012
Inactive	Trustmark Insurance Company	300317	Agent - Health	7/23/2016	7/30/2020
Inactive	Trustmark Insurance Company	300317	Agent - Life	7/23/2016	7/30/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/31/2000	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/31/2000	11/5/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/21/2015	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/21/2015	7/29/2021
Active	Unified Life Insurance Company	543169	Agent - Health	2/19/2014
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	9/17/2015
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	9/17/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	11/19/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	11/19/2003
Inactive	United States Fire Insurance Company	301682	Agent - Casualty	8/15/2000	8/15/2002
Inactive	United States Fire Insurance Company	301682	Agent - General Lines	7/8/1998	8/15/2000
Inactive	United States Fire Insurance Company	301682	Agent - Property	8/15/2000	8/15/2002
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/2/2005	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/2/2005	12/14/2009
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/1994	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/1994	3/31/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/2/2005	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	4/12/1999	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/2/2005	12/14/2009
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	12/6/2004
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	7/16/1997	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	12/6/2004
Active	Washington National Insurance Company	300587	Agent - Health	3/12/2019
Active	Washington National Insurance Company	300587	Agent - Life	3/12/2019
Inactive	West American Insurance Company	301112	Agent - Casualty	6/6/2007	2/23/2017
Inactive	West American Insurance Company	301112	Agent - Property	6/6/2007	2/23/2017
Inactive	West Bend Insurance Company	672974	Agent - Casualty	8/31/2012	5/15/2024
Inactive	West Bend Insurance Company	672974	Agent - Property	8/31/2012	5/15/2024
Inactive	West Coast Life Insurance Company	301607	Agent - Life	1/16/2009	11/16/2011
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/18/2001	12/30/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/18/2001	12/30/2004
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/15/2000	10/31/2002
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	9/16/1999	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/15/2000	10/31/2002
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/15/2000	10/31/2002
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - General Lines	9/16/1999	8/15/2000
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/15/2000	10/31/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Insurance Corporation	398974	Agent - Life	10/7/1996	3/31/1997
Inactive	American Insurance Corporation	398974	Agent - Health	10/7/1996	3/31/1997
Active	Ash Group, LLC	523782	Agent - Life	3/19/2009
Active	Ash Group, LLC	523782	Agent - Health	3/19/2009
Active	Ash Group, LLC	523782	Agent - Property	8/4/2009
Active	Ash Group, LLC	523782	Agent - Casualty	8/4/2009
Active	Dental Choice Agency Inc.	398085	Agent - Health	8/13/2002
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Withdrawn	Health Resources Inc	960080	Agent - Health	5/10/2023
Inactive	Medlink Inc	400721	Agent - Life	6/18/2002	12/14/2012
Inactive	Medlink Inc	400721	Agent - Health	6/18/2002	12/14/2012
Active	Planchoice Inc.	400482	Agent - Life	3/5/2003
Active	Planchoice Inc.	400482	Agent - Health	3/5/2003
Inactive	R. P. Wessel Company	398903	Agent - Life	3/29/1993	2/14/2003
Inactive	R. P. Wessel Company	398903	Agent - Health	3/29/1993	2/14/2003
Inactive	Reisert & Assoc Inc	398272	Agent - Life	7/30/2001	5/13/2009
Inactive	Reisert & Assoc Inc	398272	Agent - Health	7/30/2001	5/13/2009
Inactive	Reisert & Assoc Inc	398272	Agent - Property	2/26/2003	5/13/2009
Inactive	Reisert & Assoc Inc	398272	Agent - Casualty	2/26/2003	5/13/2009