DEPARTMENT OF INSURANCE

Affiliations

Name	Melton, Malcolm Eugene	DOIID	363041	NAIC NPN	548931

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	2/7/1978	11/1/2014
Inactive	Resident	Agent	Health Maintenance Organization	1/20/1987	3/1/2001
Inactive	Resident	Agent	Life	2/7/1978	11/1/2014
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/1/2009	11/1/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/19/1992	11/1/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/19/1992	11/1/2014
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/21/2002	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/21/2002	11/21/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/7/1999	11/5/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/7/1999	11/5/2014
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/24/1997	8/19/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/24/1997	8/19/2003
Inactive	American National Insurance Company	301861	Agent - Health	3/18/1999	11/1/2014
Inactive	American National Insurance Company	301861	Agent - Life	3/18/1999	11/1/2014
Inactive	American United Life Insurance Company	300498	Agent - Health	12/21/2008	11/1/2014
Inactive	American United Life Insurance Company	300498	Agent - Life	12/21/2008	11/1/2014
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	6/9/2000	11/26/2002
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	6/9/2000	11/26/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	1/20/1987	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/27/1993	5/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/27/1993	5/1/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	6/13/1994	10/10/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	6/13/1994	10/10/2006
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	2/7/2007	11/1/2014
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	2/17/1993	4/4/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	2/17/1993	4/4/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/25/1997	1/8/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/25/1997	1/8/2004
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	12/10/2012
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	12/28/1995	3/1/2001
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/26/1993	4/9/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	5/26/1993	4/9/2003
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	5/21/1991	3/6/2001
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	5/21/1991	3/6/2001
Inactive	Clarendon National Insurance Company	300843	Agent - Health	6/24/2002	10/28/2003
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/4/1999	6/15/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/4/1999	6/15/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	4/14/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	5/11/1998	1/9/2006
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	5/11/1998	1/9/2006
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/21/2010	4/14/2014
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	1/7/1992	3/7/2011
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	1/7/1992	3/7/2011
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/17/1998	1/28/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/17/1998	1/28/2005
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	4/1/1996	12/29/2005
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	4/1/1996	12/29/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/27/1995	7/19/2004
Inactive	General American Life Insurance Company	300280	Agent - Health	1/4/2007	12/16/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	1/4/2007	12/16/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/23/1995	1/6/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/23/1995	1/6/1997
Inactive	HCC Life Insurance Company	301827	Agent - Health	4/14/1997	7/15/1999
Inactive	HCC Life Insurance Company	301827	Agent - Life	4/14/1997	7/15/1999
Inactive	Health Resources Inc.	301210	Agent - Health	3/8/1989	11/1/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/5/2013	4/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	4/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/26/1995	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	11/17/1992	4/14/2014
Inactive	Humana Insurance Company	300118	Agent - Health	5/26/1995	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	11/17/1992	4/14/2014
Inactive	Humana Insurance Company	300118	Agent - Life	5/26/1995	12/31/1998
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/27/2010	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/25/2010	4/14/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/16/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/16/2012	12/19/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/27/1995	1/29/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/27/1995	1/29/1998
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	8/14/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	8/14/2000	7/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/4/2008	11/22/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/4/2008	11/22/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/19/2012	11/1/2014
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/19/2012	11/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	4/14/2014
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	8/28/2000	11/1/2014
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	8/28/2000	11/1/2014
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	3/19/2003	8/3/2009
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	3/19/2003	8/3/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007	1/29/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007	1/29/2014
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/28/1995	1/8/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/28/1995	1/8/2004
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	1/4/2007	6/20/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	1/4/2007	6/20/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/12/1995	11/1/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/12/1995	11/1/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	4/21/1995	3/31/1997
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/21/1995	3/31/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/15/2009	8/15/2011
Inactive	Nassau Life Insurance Company	301406	Agent - Health	1/30/1989	12/30/1998
Inactive	Nassau Life Insurance Company	301406	Agent - Life	1/30/1989	12/30/1998
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	4/6/1999	2/26/2001
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	4/6/1999	2/26/2001
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/7/1978	11/1/2014
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/7/1978	11/1/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Health	3/9/1993	1/31/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Life	3/9/1993	1/31/1997
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	7/12/1988	12/19/2001
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	7/12/1988	12/19/2001
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	3/25/1999	3/13/2003
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	3/25/1999	3/13/2003
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	4/6/1994	12/31/1998
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	4/6/1994	12/31/1998
Inactive	Time Insurance Company	300683	Agent - Health	5/21/1991	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	5/21/1991	3/31/1997
Inactive	Union Security Insurance Company	301844	Agent - Health	8/25/2010	2/28/2014
Inactive	Union Security Insurance Company	301844	Agent - Life	8/25/2010	2/28/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/15/2009	8/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/15/2009	8/15/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/20/2008	11/1/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/20/2008	11/1/2014
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/8/2001	2/24/2003
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/8/2001	2/24/2003
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/20/2008	11/1/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/20/2008	11/1/2014
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	2/19/1992	12/17/2008
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	2/19/1992	12/17/2008

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	7/2/1992	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/2/1992	6/23/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/16/2005	11/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	5/6/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	5/6/2014
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Ins & Business Planning Inc	738816	Agent - Life	10/5/2010	11/1/2014
Inactive	Ins & Business Planning Inc	738816	Agent - Health	10/5/2010	11/1/2014
Inactive	Planchoice Inc.	400482	Agent - Health	4/17/2014	11/1/2014
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003