DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mills, C Maxwell	DOIID	371194	NAIC NPN	7200690

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	5/4/1995	3/31/1997
Inactive	Resident	Agent	Life	9/3/1996	7/1/1998
Inactive	Resident	Agent	Health	9/3/1996	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	Anthem Life Insurance Company	301209	Agent - Health	9/3/1996	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/3/1996	7/1/1998

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 Western Kentucky Inc.	401302	Administrator - Not Applicable	5/4/1995	3/31/1997