DEPARTMENT OF INSURANCE

Affiliations

Name	O Connor, William Patrick	DOIID	364212	NAIC NPN	1349623

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Prepaid Dental Plan	7/28/2000	12/1/2000
Inactive	Non Resident	Agent	Life	12/19/2012	7/13/2015
Inactive	Non Resident	Agent	Health	12/13/2013	7/13/2015
Inactive	Resident	Life & Health Consultant	Not Applicable	6/24/1998	3/31/1999
* 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 United Life Insurance Company	300498	Agent - Health	6/17/1997	12/1/2000
Inactive	American United Life Insurance Company	300498	Agent - Life	6/17/1997	12/1/2000
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	5/30/1996	3/10/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	5/30/1996	3/10/1998
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	7/28/2000	12/1/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/10/1996	12/1/2000
Inactive	HM Life Insurance Company	301408	Agent - Health	3/16/1987	1/1/1999
Inactive	HM Life Insurance Company	301408	Agent - Life	3/16/1987	1/1/1999
Inactive	Humana Insurance Company	300118	Agent - Health	3/26/1997	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Health	6/24/1997	12/1/2000
Inactive	Humana Insurance Company	300118	Agent - Life	3/26/1997	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	6/24/1997	12/1/2000
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/7/1987	4/8/1996
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/7/1987	4/8/1996
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/5/1996	12/1/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/16/1996	12/1/2000
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/16/1996	12/1/2000
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/28/2000	12/1/2000
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/28/2000	12/1/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/28/1995	12/1/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/28/1995	12/1/2000
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	5/1/2013	9/22/2014
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	5/10/1988	12/1/2000
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	5/10/1988	12/1/2000
Inactive	Union Security Insurance Company	301844	Agent - Health	10/20/1998	12/1/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	10/20/1998	12/1/2000
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/7/1996	12/1/2000
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/7/1996	12/1/2000

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 - Life	7/1/1993	12/1/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	12/1/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/26/2000	7/21/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/26/2000	7/21/2000
Inactive	Private Client Services, LLC	718426	Agent - Life	7/31/2014	9/22/2014
Denied	Private Client Services, LLC	718426	Agent - Health