DEPARTMENT OF INSURANCE

Affiliations

Name	Feusner, John Richard	DOIID	362142	NAIC NPN	7196826

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	8/31/1992	1/12/1997
Inactive	Resident	Agent	Life	4/10/1979	1/12/1997
Inactive	Resident	Agent	Health	4/10/1979	1/12/1997
Inactive	Resident	Life & Health Consultant	Not Applicable	7/20/1989	1/28/1997
* 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	Brighthouse Life Insurance Company	301829	Agent - Health	8/10/1993	1/12/1997
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/10/1993	1/12/1997
Inactive	Centre Life Insurance Company	300341	Agent - Health	8/3/1994	1/12/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/18/1989	1/12/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/18/1989	1/12/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/20/1995	1/12/1997
Inactive	Humana Insurance Company	301104	Agent - Health	6/21/1991	1/12/1997
Inactive	Humana Insurance Company	301104	Agent - Life	6/21/1991	1/12/1997
Inactive	Nassau Life Insurance Company	301406	Agent - Health	2/8/1989	1/12/1997
Inactive	Nassau Life Insurance Company	301406	Agent - Life	2/8/1989	1/12/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/10/1979	1/12/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/10/1979	1/12/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	4/26/1993	1/12/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	4/26/1993	1/12/1997
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	10/4/1995	1/12/1997
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	10/4/1995	1/12/1997
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	8/17/1992	1/12/1997
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	8/17/1992	1/12/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/4/1989	1/12/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/4/1989	1/12/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	4/13/1994	1/12/1997
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	4/13/1994	1/12/1997
Inactive	Anchor Insurance Agency Inc.	398530	Agent - Health Maintenance Organization	8/31/1992	1/12/1997
Inactive	Thompson Associates Inc.	398584	Agent - Health	1/10/1992	1/12/1997
Inactive	Thompson Associates Inc.	398584	Agent - Life	1/10/1992	1/12/1997