DEPARTMENT OF INSURANCE

Affiliations

Name	Horn, Douglas P	DOIID	366501	NAIC NPN	47722

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	2/21/1978	1/29/2007
Inactive	Resident	Agent	Health	2/21/1978	1/29/2007
Inactive	Resident	Agent	Health Maintenance Organization	10/10/1985	7/14/1997
Inactive	Resident	Solicitor	General Lines	3/27/1995	11/22/1999
* 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 General Life Insurance Company	301585	Agent - Health	12/20/2005	1/29/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	12/20/2005	1/29/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/10/1996	5/4/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/10/1996	5/4/2000
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/14/2006	1/29/2007
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/25/1997	1/29/2007
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/25/1997	1/29/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/26/1994	1/29/2007
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	1/6/1992	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	1/6/1992	3/31/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/24/1997	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/24/1997	12/31/1998
Inactive	Continental General Insurance Company	300691	Agent - Health	6/7/1995	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	6/7/1995	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Health	6/11/1991	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/11/1991	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/24/1996	1/29/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/24/1996	1/29/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/30/1998	1/29/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/30/1998	1/29/2007
Inactive	HM Life Insurance Company	301408	Agent - Health	7/1/1993	1/29/2007
Inactive	HM Life Insurance Company	301408	Agent - Life	7/1/1993	1/29/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/3/2003	1/29/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/10/1985	7/14/1997
Inactive	Humana Insurance Company	301104	Agent - Health	1/30/2003	1/29/2007
Inactive	Humana Insurance Company	301104	Agent - Life	1/30/2003	1/29/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/12/1999	12/16/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/12/1999	12/16/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/21/1978	5/4/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/21/1978	5/4/1999
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/12/2001	1/29/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/12/2001	1/29/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	5/21/1990	3/31/1997
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/31/1990	12/29/1998
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/31/1990	12/29/1998
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/4/1984	1/29/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/4/1984	1/29/2007
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	6/16/2005	1/29/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/9/2003	1/29/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/9/2003	1/29/2007
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/22/1993	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/22/1993	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Health	5/11/2004	6/6/2006
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/11/2004	6/6/2006
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	9/19/1997	5/26/1998
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	9/19/1997	5/26/1998
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/25/1987	5/20/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/25/1987	5/20/1999
Inactive	Protective Life Insurance Company	300638	Agent - Health	12/29/2005	1/29/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	12/29/2005	1/29/2007
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	4/19/1995	3/31/1997
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/21/1996	1/2/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	4/19/1995	3/31/1997
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/21/1996	1/2/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	8/7/1991	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	8/7/1991	3/31/1997
Inactive	State Life Insurance Company	301497	Agent - Health	12/30/1998	7/13/2004
Inactive	State Life Insurance Company	301497	Agent - Life	12/30/1998	7/13/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	1/29/2007
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	9/12/2003	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/12/2003	1/29/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/12/2003	1/29/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	1/18/2006	1/29/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/31/1989	1/29/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/31/1989	1/29/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/17/1993	1/29/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/17/1993	6/15/2006
Inactive	Washington National Insurance Company	300587	Agent - Health	3/7/1991	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	3/7/1991	3/31/1997
Inactive		300277	Agent - Health	5/8/1996	1/1/2007
Inactive		300277	Agent - Life	5/8/1996	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	Acordia of Louisville Inc.	401252	Agent - Life	12/15/1995	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	12/15/1995	2/28/2003
Inactive	Insurance One Inc.	399840	Agent - Life	10/21/1991	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	10/21/1991	5/31/2004