DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Atchley, Tracy Lynn	DOIID	369445	NAIC NPN	2223657

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/19/1996	7/1/2004
Inactive	Resident	Agent	Life	4/19/1996	7/1/2004
Inactive	Resident	Agent	Health Maintenance Organization	5/10/1996	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	4/19/1996	4/8/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/19/1996	4/8/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2000	7/1/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2000	7/1/2004
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/19/1998	3/13/2000
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/19/1998	3/13/2000
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	5/10/1996	3/1/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/1/2000	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/1/2000	2/28/2003