DEPARTMENT OF INSURANCE

Affiliations

Name	Gorman, Sally C	DOIID	366914	NAIC NPN	1479302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	4/26/1993	7/1/1998
Inactive	Resident	Agent	Health	4/26/1993	7/1/1998
* 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 Assurance Company	300586	Agent - Health	4/15/1996	7/1/1998
Inactive	American General Assurance Company	300586	Agent - Life	4/15/1996	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/30/1993	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/30/1993	7/1/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	3/9/1994	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/9/1994	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	7/28/1994	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	7/28/1994	3/31/1997
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	8/5/1996	7/1/1998
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	8/5/1996	7/1/1998
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/17/1993	7/1/1998
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/3/1993	2/6/1997
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/3/1993	2/6/1997
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	9/8/1995	3/31/1997
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	9/8/1995	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	7/19/1994	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	7/19/1994	3/31/1997
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	4/8/1996	1/27/1998
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	4/8/1996	1/27/1998
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	4/20/1994	3/31/1997
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	4/20/1994	3/31/1997
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Health	7/6/1994	3/31/1997
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Life	7/6/1994	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/26/1993	7/1/1998
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/26/1993	7/1/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/2/1994	3/31/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/2/1994	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	10/6/1993	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	10/6/1993	3/31/1997
Inactive	Union Security Insurance Company	301844	Agent - Health	12/27/1993	3/31/1997
Inactive	Union Security Insurance Company	301844	Agent - Life	12/27/1993	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	2/9/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	2/9/1995	3/31/1997

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	5/26/1994	7/1/1998
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	5/26/1994	7/1/1998
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Kentucky Financial Group Inc.	400432	Agent - Life	7/13/1994	7/1/1998
Inactive	Kentucky Financial Group Inc.	400432	Agent - Health	7/13/1994	7/1/1998
Inactive	Medlink Inc	400721	Agent - Life	11/9/1993	7/1/1998
Inactive	Medlink Inc	400721	Agent - Health	11/9/1993	7/1/1998