DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Standafer, Lesley S	DOIID	357728	NAIC NPN	7194875

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/29/2001	7/1/2002
Inactive	Resident	Agent	Health Maintenance Organization	1/31/2000	3/1/2001
Inactive	Resident	Agent	Health	11/15/1995	7/1/2002
Inactive	Resident	Agent	Property	8/28/2001	7/1/2002
Inactive	Resident	Agent	Life	11/15/1995	7/1/2002
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/27/2001	7/1/2002
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/27/2001	7/1/2002
Inactive	American United Life Insurance Company	300498	Agent - Health	4/3/2000	7/1/2002
Inactive	American United Life Insurance Company	300498	Agent - Life	4/3/2000	7/1/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/15/1995	12/21/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/15/1995	12/21/1999
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	1/31/2000	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	1/18/2000	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Life	1/18/2000	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/27/1999	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/27/1999	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/29/2001	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/28/2001	7/1/2002
Inactive	Time Insurance Company	300683	Agent - Health	11/27/2000	7/1/2002
Inactive	Time Insurance Company	300683	Agent - Life	11/27/2000	7/1/2002

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	1/29/2002	7/1/2002
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Health	3/1/2001	7/1/2002
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Health Maintenance Organization	2/28/2000	3/1/2001