DEPARTMENT OF INSURANCE

Affiliations

Name	Elliott, John V	DOIID	356873	NAIC NPN	7194481

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	11/30/1993	8/15/2000
Inactive	Resident	Agent	Health	7/28/2008	10/1/2013
Inactive	Resident	Agent	Life	7/28/2008	10/1/2013
Inactive	Resident	Agent	Casualty	8/18/2008	10/1/2013
Inactive	Resident	Agent	Property	8/18/2008	10/1/2013
* 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	Columbian Life Insurance Company	300810	Agent - Life	8/17/2011	10/1/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/29/2002	9/30/2003
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/29/2002	9/30/2003
Inactive	Encova Life Insurance Company	301818	Agent - Health	5/2/1997	9/30/2003
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/2/1997	9/30/2003
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	8/3/2011	11/1/2013
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	8/3/2011	11/1/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/29/2002	9/30/2003
Inactive	Indiana Insurance Company	301909	Agent - Property	3/29/2002	9/30/2003
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	6/21/1996	2/19/2003
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	6/21/1996	3/16/2001
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	10/29/2001
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	10/29/2001
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	8/18/2011	6/14/2012
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	8/18/2011	6/14/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	6/5/1997	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	6/5/1997	3/31/1999
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/29/2002	9/30/2003
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/29/2002	9/30/2003
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	6/3/2002
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	11/30/1993	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	6/3/2002
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/29/2002	9/30/2003
Inactive	Peerless Insurance Company	301910	Agent - Property	3/29/2002	9/30/2003
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/20/2009	6/2/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/20/2009	6/2/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/28/2008	4/19/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/28/2008	4/19/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Life	2/21/2003	9/30/2003
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Health	2/21/2003	9/30/2003
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Property	2/21/2003	9/30/2003
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Casualty	2/21/2003	9/30/2003
Inactive	United Financial Services Inc	400566	Agent - Property	7/16/2009	6/2/2011
Inactive	United Financial Services Inc	400566	Agent - Casualty	7/16/2009	6/2/2011