DEPARTMENT OF INSURANCE

Affiliations

Name	Elliott, James Wilburn	DOIID	364516	NAIC NPN	2793614

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/21/1995	12/31/2009
Inactive	Non Resident	Agent	Life	5/31/2001	12/31/2009
Inactive	Non Resident	Agent	Property	8/15/2000	12/31/2009
Inactive	Non Resident	Agent	General Lines	10/24/1996	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	12/31/2009
* 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	5 Star Life Insurance Company	300673	Agent - Health	10/12/2004	12/31/2009
Inactive	5 Star Life Insurance Company	300673	Agent - Life	10/12/2004	12/31/2009
Inactive	AIG Assurance Company	300897	Agent - General Lines	10/24/1996	5/8/1998
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/5/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/5/1996	3/31/1997
Inactive	Countryway Insurance Company	300809	Agent - Casualty	8/15/2000	12/31/2009
Inactive	Countryway Insurance Company	300809	Agent - General Lines	11/2/1998	8/15/2000
Inactive	Countryway Insurance Company	300809	Agent - Property	8/15/2000	12/31/2009
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	8/1/1996	5/8/1998
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	8/1/1996	5/8/1998
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	4/7/1998	5/8/1998
Inactive	First Colony Life Insurance Company	301179	Agent - Health	9/11/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/11/2006	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	10/4/2009
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/18/1999	1/27/2003
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/18/1999	1/27/2003
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	10/24/1996	5/8/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/20/2001	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/20/2001	11/7/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/10/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/10/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/30/2009	12/31/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/30/2009	12/31/2009
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	4/10/2006	2/18/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/26/1995	5/8/1998
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/26/1995	5/8/1998
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/7/2000	5/6/2002
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	8/7/2000	5/6/2002
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/31/2001	12/19/2005
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	4/7/1998	5/8/1998
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	1/15/1998	5/8/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	2/5/2001	12/13/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	2/5/2001	12/13/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	8/1/1995	5/8/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	8/1/1995	5/8/1998
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	1/4/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/5/2001	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/31/2001	11/10/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	1/25/1995	5/8/1998
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	1/25/1995	5/8/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	10/17/1995	5/8/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/17/1995	5/8/1998
Inactive	Time Insurance Company	300683	Agent - Health	1/22/2001	2/5/2003
Inactive	Time Insurance Company	300683	Agent - Life	1/22/2001	2/5/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/5/2001	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/31/2001	11/10/2004
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/15/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/15/1995	3/31/1997
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/12/2003	12/22/2006
Inactive		300277	Agent - Life	11/16/2005	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
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