DEPARTMENT OF INSURANCE

Affiliations

Name	Sisk, Richard E	DOIID	367716	NAIC NPN	7199186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/1/1993	9/22/2008
Inactive	Resident	Agent	Life	6/1/1993	9/22/2008
* 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	Ability Insurance Company	301013	Agent - Health	12/7/1994	12/7/1998
Inactive	Ability Insurance Company	301013	Agent - Life	12/7/1994	12/7/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/21/1998	8/22/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/21/1998	8/22/2003
Inactive	Allied Life Insurance Company	301294	Agent - Health	7/6/1994	1/24/1996
Inactive	Allied Life Insurance Company	301294	Agent - Life	7/6/1994	1/24/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	2/26/1996	3/1/1999
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	2/26/1996	3/1/1999
Inactive	Continental Casualty Company	301019	Agent - Health	12/13/1994	12/19/2002
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	2/10/1997	9/22/2008
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	2/10/1997	9/22/2008
Inactive	LifeUSA Insurance Company	300386	Agent - Health	5/21/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	5/21/1998	8/2/2002
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	9/21/2000	4/17/2001
Inactive	Medico Insurance Company	301559	Agent - Health	3/4/1996	12/7/1998
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	8/12/1999	2/26/2001
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	8/12/1999	2/26/2001
Inactive	National Western Life Insurance Company	301515	Agent - Health	12/12/1994	1/13/1997
Inactive	National Western Life Insurance Company	301515	Agent - Life	12/12/1994	1/13/1997
Inactive	Physicians Life Insurance Company	300924	Agent - Life	10/16/1995	7/24/1996
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	10/16/1995	7/24/1996
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/23/1994	1/30/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/23/1994	1/30/2004
Inactive	Settlers Life Insurance Company	300189	Agent - Health	6/1/1993	12/31/1998
Inactive	Settlers Life Insurance Company	300189	Agent - Life	6/1/1993	12/31/1998
Inactive	Trustmark Insurance Company	300317	Agent - Health	12/28/1999	11/15/2001
Inactive	Trustmark Insurance Company	300317	Agent - Life	12/28/1999	11/15/2001
Inactive	Union Bankers Insurance Company	301769	Agent - Health	3/28/1995	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	3/28/1995	6/12/1998
Inactive	United American Insurance Company	300910	Agent - Health	3/25/1996	12/31/1998
Inactive	United American Insurance Company	300910	Agent - Life	3/25/1996	12/31/1998
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	6/3/1999	9/22/2008
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	6/3/1999	9/22/2008

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