DEPARTMENT OF INSURANCE

Affiliations

Name	Fine, Glenn Alan	DOIID	365177	NAIC NPN	66957

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	8/16/2001	7/31/2010
Inactive	Resident	Agent	Life	7/13/1990	8/1/2012
Inactive	Resident	Agent	Health	7/13/1990	8/1/2012
Inactive	Resident	Agent	Health Maintenance Organization	10/15/1987	3/1/2001
* 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	7/2/2001	12/28/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/2/2001	12/28/2006
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/21/2001	7/2/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/21/2001	7/2/2002
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	9/9/2002	11/13/2006
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	9/9/2002	11/13/2006
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	1/29/2001	1/26/2005
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	1/29/2001	1/26/2005
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/13/2006	8/14/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/10/2009	7/19/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/10/2009	7/19/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/10/2009	7/19/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	4/12/2001	12/29/2006
Inactive	Continental American Insurance Company	301700	Agent - Health	9/13/2002	8/1/2012
Inactive	Continental American Insurance Company	301700	Agent - Life	9/13/2002	8/1/2012
Inactive	Continental Casualty Company	301019	Agent - Health	10/6/1999	10/28/2002
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/19/2010
Inactive	First Colony Life Insurance Company	301179	Agent - Health	6/12/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/12/2006	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/12/2006	12/9/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/12/2006	12/9/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/9/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/9/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/19/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/15/1987	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	7/13/1990	1/3/2002
Inactive	Humana Insurance Company	301104	Agent - Health	1/3/2002	7/19/2010
Inactive	Humana Insurance Company	300118	Agent - Life	7/13/1990	1/3/2002
Inactive	Humana Insurance Company	301104	Agent - Life	1/3/2002	7/19/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/13/2009	7/19/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/13/2009	7/19/2010
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	7/23/2001	6/21/2005
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	7/23/2001	6/21/2005
Inactive	Medico Insurance Company	301559	Agent - Health	11/6/2000	10/4/2001
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	2/22/2000	7/10/2001
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/30/2003	2/7/2007
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	11/30/2003	2/7/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	11/21/2000	8/16/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	11/21/2000	8/16/2002
Inactive	Protected Home Mutual Life Insurance Company	301399	Agent - Health	5/18/2001	11/30/2003
Inactive	Protected Home Mutual Life Insurance Company	301399	Agent - Life	5/18/2001	11/30/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	6/12/2001	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	6/12/2001	11/19/2003
Inactive	Time Insurance Company	300683	Agent - Health	2/19/2001	4/17/2001
Inactive	Time Insurance Company	300683	Agent - Life	2/19/2001	4/17/2001
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	8/1/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	8/3/2011
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/2/1999	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/2/1999	10/1/2008
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	3/13/2001	12/23/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	3/13/2001	12/23/2010
Inactive	Wilco Life Insurance Company	300122	Agent - Life	3/13/2001	9/10/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana Health Plan Inc.	630298	Administrator - Not Applicable	7/5/2006	7/19/2010
Inactive	Humana Ins Co (TPA)	533960	Administrator - Not Applicable	8/16/2001	7/19/2010
Inactive	Humana Insurance Company of Kentucky (TPA)	533961	Administrator - Not Applicable	8/16/2001	3/31/2009
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	12/5/2000	7/6/2010
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	8/6/2008	7/6/2010
Inactive	Humana Medical Plan, Inc.	611414	Administrator - Not Applicable	7/11/2005	7/31/2010
Inactive	HumanaDental Insurance Company (TPA)	533962	Administrator - Not Applicable	8/16/2001	9/7/2010