DEPARTMENT OF INSURANCE

Affiliations

Name	Ewing, Dorlisa Danette	DOIID	359236	NAIC NPN	7195554

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/20/1996	7/1/1998
Inactive	Resident	Agent	Health Maintenance Organization	6/24/1998	7/1/1998
Inactive	Resident	Agent	Health	8/2/1995	7/1/1998
Inactive	Resident	Agent	Prepaid Dental Plan	6/5/1996	7/1/1998
* 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	4/29/1997	7/1/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/29/1997	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/17/1996	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/17/1996	7/1/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	5/21/1997	7/1/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	5/21/1997	7/1/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	8/20/1996	7/1/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	8/20/1996	7/1/1998
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	6/25/1998	7/1/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/24/1998	7/1/1998
Inactive	Humana Insurance Company	301104	Agent - Health	8/29/1997	7/1/1998
Inactive	Humana Insurance Company	301104	Agent - Life	8/29/1997	7/1/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/3/1996	7/1/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/3/1996	7/1/1998
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	8/2/1995	4/8/1996
Inactive	Physicians Life Insurance Company	300924	Agent - Life	9/26/1996	1/28/1997
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	9/26/1996	1/28/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/30/1997	7/1/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/30/1997	7/1/1998
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	4/1/1997	7/1/1998
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	4/1/1997	7/1/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	4/1/1997	7/1/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	4/1/1997	7/1/1998
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	9/10/1996	7/1/1998
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	9/10/1996	7/1/1998
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Prepaid Dental Plan	6/5/1996	7/1/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/1/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/1/1996	3/31/1997

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	10/18/1996	7/1/1998
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/18/1996	7/1/1998