PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameQualls, Roy RDOIID370366NAIC NPN7200329
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth6/13/199412/1/2000 
InactiveResidentAgentLife6/13/199412/1/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBankers Life and Casualty Company300701Agent - Health6/28/19943/4/1996
InactiveBankers Life and Casualty Company300701Agent - Life6/28/19943/4/1996
InactiveForethought Life Insurance Company301407Agent - Life8/26/199412/1/2000
InactiveGuarantee Trust Life Insurance Company301043Agent - Health1/22/19963/31/1997
InactiveGuarantee Trust Life Insurance Company301043Agent - Life1/22/19963/31/1997
InactiveIllinois Mutual Life Insurance Company301479Agent - Health6/13/199412/1/2000
InactiveIllinois Mutual Life Insurance Company301479Agent - Life6/13/199412/1/2000
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health2/12/19963/31/1997
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life2/12/19963/31/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCornerstone Financial Corporation399864Agent - Life1/17/19968/12/1996
InactiveCornerstone Financial Corporation399864Agent - Health1/17/19968/12/1996
InactiveCornerstone Senior Services LLC399590Agent - Life2/24/19974/26/1999
InactiveCornerstone Senior Services LLC399590Agent - Health2/24/19974/26/1999
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveWest Kentucky Group Benefits401049Agent - Life12/28/199812/1/2000
InactiveWest Kentucky Group Benefits401049Agent - Health12/28/199812/1/2000

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