DEPARTMENT OF INSURANCE

Affiliations

Name	Cox, David Brent	DOIID	371735	NAIC NPN	7126804

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	12/31/2005
Inactive	Resident	Agent	Life	11/29/1999	12/31/2005
Inactive	Resident	Agent	Property	8/15/2000	12/31/2005
Inactive	Resident	Agent	Casualty	8/15/2000	12/31/2005
Inactive	Resident	Agent	General Lines	10/30/1998	8/15/2000
Inactive	Resident	Agent	Health	11/29/1999	12/31/2005
AFFIDAVIT ON FILE
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AF&L Insurance Company	301582	Agent - Health	9/9/2002	12/31/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/8/2002	12/31/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/8/2002	12/31/2005
Inactive	American Bankers Insurance Company of Florida	300360	Agent - General Lines	2/5/1999	8/15/2000
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	8/15/2000	9/9/2004
Inactive	American Commerce Insurance Company	301665	Agent - General Lines	3/4/1999	8/15/2000
Inactive	American Commerce Insurance Company	301665	Agent - Property	8/15/2000	9/9/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/18/2002	12/31/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/18/2002	12/31/2005
Inactive	Assurance Company of America	300432	Agent - Casualty	4/15/2002	8/29/2005
Inactive	Assurance Company of America	300432	Agent - Property	4/15/2002	8/29/2005
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/20/2002	12/30/2002
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/20/2002	12/30/2002
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/1/2000	12/31/2005
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	9/11/2001	12/31/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/3/2002	12/31/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/3/2002	12/31/2005
Inactive	C.M. Life Insurance Company	301335	Agent - Health	9/4/2001	12/31/2005
Inactive	C.M. Life Insurance Company	301335	Agent - Life	9/4/2001	12/31/2005
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	9/21/2001	11/7/2003
Inactive	CHA HMO, Inc.	300662	Agent - Health	12/20/2001	2/25/2003
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/20/2002	12/30/2002
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/20/2002	12/30/2002
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/29/1999	12/31/2005
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/29/1999	12/31/2005
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/7/2002	7/7/2005
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/7/2002	7/7/2005
Inactive	CompDent Corporation	301387	Agent - Health	3/7/2002	12/23/2004
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	2/27/2004
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	2/27/2004
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	10/10/2001	8/29/2005
Inactive	Farmers Insurance Exchange	300336	Agent - Property	10/10/2001	8/29/2005
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	10/22/2001	12/31/2005
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/22/2001	12/31/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Health	11/2/2001	12/31/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/2/2001	12/31/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	11/21/2002	12/31/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	11/21/2002	12/31/2005
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	4/15/2002	8/29/2005
Inactive	Glatfelter Insurance Company	301640	Agent - Property	4/15/2002	8/29/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/3/2002	12/31/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/3/2002	12/31/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/1/2001	12/31/2005
Inactive	Humana Insurance Company	301104	Agent - Health	6/1/2001	12/31/2005
Inactive	Humana Insurance Company	301104	Agent - Life	6/1/2001	12/31/2005
Inactive	Ironshore Indemnity Inc.	300088	Agent - General Lines	10/30/1998	1/28/1999
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/25/2001	12/31/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/25/2001	12/31/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	10/25/2001	12/31/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	10/25/2001	12/31/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/24/2002	12/17/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/24/2002	12/17/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	6/24/2002	12/17/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/9/2002	12/31/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/9/2002	12/31/2005
Inactive	Maryland Casualty Company	301719	Agent - Casualty	4/15/2002	8/29/2005
Inactive	Maryland Casualty Company	301719	Agent - Property	4/15/2002	8/29/2005
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	9/4/2001	12/31/2005
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	9/4/2001	12/31/2005
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	9/21/2001	11/7/2003
Inactive	Midland National Life Insurance Company	300923	Agent - Health	8/28/2003	7/20/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Life	8/28/2003	7/20/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	8/28/2003	2/21/2005
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	8/16/2000	9/21/2001
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	8/16/2000	9/21/2001
Inactive	Nationwide General Insurance Company	300603	Agent - Property	8/16/2000	9/21/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	8/16/2000	9/21/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/16/2000	9/21/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	3/26/2001	9/21/2001
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/16/2000	9/21/2001
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/16/2000	9/21/2001
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/16/2000	9/21/2001
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/16/2000	9/21/2001
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/16/2000	9/21/2001
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/16/2000	9/21/2001
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	4/15/2002	8/29/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Property	4/15/2002	8/29/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	6/15/2005
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	4/7/2000	10/1/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/20/2002	12/30/2002
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/20/2002	12/30/2002
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/20/2002	12/30/2002
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/20/2002	12/30/2002
Inactive	Time Insurance Company	300683	Agent - Health	2/4/2002	8/3/2005
Inactive	Time Insurance Company	300683	Agent - Life	2/4/2002	8/3/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/16/2002	3/8/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/16/2002	3/8/2005
Inactive	TravCo Insurance Company	301828	Agent - Casualty	5/20/2002	12/30/2002
Inactive	TravCo Insurance Company	301828	Agent - Property	5/20/2002	12/30/2002
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	12/30/2002
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	12/30/2002
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	5/20/2002	12/30/2002
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	5/20/2002	12/30/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/20/2002	12/30/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/20/2002	12/30/2002
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	12/30/2002
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	12/30/2002
Inactive	Union Central Life Insurance Company	300307	Agent - Health	5/28/2002	2/24/2003
Inactive	Union Central Life Insurance Company	300307	Agent - Life	5/28/2002	2/24/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/19/2001	11/22/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/19/2001	11/22/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/4/2001	11/22/2005

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	3/4/2002	12/31/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/4/2002	12/31/2005
Inactive	Blue Grass Automobile Club Ins Service Inc.	398454	Agent - General Lines	1/19/1999	8/15/2000
Inactive	Blue Grass Automobile Club Ins Service Inc.	398454	Agent - Property	8/15/2000	3/3/2003
Inactive	Blue Grass Automobile Club Ins Service Inc.	398454	Agent - Casualty	8/15/2000	3/3/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/16/2005	12/31/2005
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Life	12/4/2001	2/11/2004
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Health	12/4/2001	2/11/2004
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Property	12/4/2001	2/11/2004
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Casualty	12/4/2001	2/11/2004
Inactive	Medlink Inc	400721	Agent - Life	9/24/2002	12/31/2005
Inactive	Medlink Inc	400721	Agent - Health	9/24/2002	12/31/2005
Inactive	NorthStar Agency LLC	547057	Agent - Life	3/18/2002	6/30/2005
Inactive	NorthStar Agency LLC	547057	Agent - Health	3/18/2002	6/30/2005
Inactive	NorthStar Agency LLC	547057	Agent - Property	4/8/2002	6/30/2005
Inactive	NorthStar Agency LLC	547057	Agent - Casualty	4/8/2002	6/30/2005