DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Breitsch, John G	DOIID	365804	NAIC NPN	7198423

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	4/28/1997	1/31/2005
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Claims Inc.	396082	Administrator - Not Applicable	4/28/1997	3/31/1999
Inactive	Anthem Health Plans of Kentucky (TPA)	401292	Administrator - Not Applicable	6/15/1998	1/31/2005
Inactive	Anthem Insurance Companies Inc. (TPA)	396067	Administrator - Not Applicable	5/7/1998	1/31/2005