DEPARTMENT OF INSURANCE

Affiliations

Name	McCulloch, Mark L	DOIID	372533	NAIC NPN	7201260

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/27/1990	10/31/2008
Inactive	Resident	Agent	Life	7/27/1990	10/31/2008
Inactive	Resident	Agent	General Lines	12/1/1994	8/15/2000
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All American Life Insurance Company	300702	Agent - Health	11/5/1992	12/31/2002
Inactive	All American Life Insurance Company	300702	Agent - Life	11/5/1992	12/31/2002
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/10/2003	12/31/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/10/2003	12/31/2005
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2002	2/26/2004
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2002	2/26/2004
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	1/28/2003	12/27/2003
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	1/28/2003	12/27/2003
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/26/2008	12/19/2008
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/26/2008	12/19/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/27/1990	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/27/1990	3/31/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/25/2002	5/5/2003
Inactive	Humana Insurance Company	301104	Agent - Health	3/25/2002	5/5/2003
Inactive	Humana Insurance Company	301104	Agent - Life	3/25/2002	5/5/2003
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/23/2001	6/4/2001
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	3/7/2001	6/4/2001
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/23/2001	6/4/2001
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/7/2001	6/4/2001
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	5/22/2008	10/31/2008
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	5/22/2008	11/16/2008
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	4/17/2003	10/31/2008
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	4/17/2003	10/31/2008
Inactive	Modern Woodmen of America	301213	Agent - Life	6/1/2001	2/7/2002
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	12/1/1994	10/26/1999
Inactive	Sterling Life Insurance Company	301947	Agent - Health	12/8/2004	5/5/2005
Inactive	Sterling Life Insurance Company	301947	Agent - Life	12/8/2004	5/5/2005
Inactive	Time Insurance Company	300683	Agent - Health	2/11/2003	10/17/2003
Inactive	Time Insurance Company	300683	Agent - Life	2/11/2003	10/17/2003
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	9/19/2003	11/8/2004
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	9/19/2003	11/8/2004
Inactive	World Insurance Company	300396	Agent - Health	2/6/2003	10/9/2003
Inactive	World Insurance Company	300396	Agent - Life	2/6/2003	10/9/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fraternal Financial Services, Inc.	559781	Agent - Life	2/24/2003	2/9/2004
Inactive	American Fraternal Financial Services, Inc.	559781	Agent - Health	2/24/2003	2/9/2004
Inactive	Insurance Store, LLC (The)	573356	Agent - Life	12/22/2003	1/11/2005
Inactive	Insurance Store, LLC (The)	573356	Agent - Health	12/22/2003	1/11/2005
Inactive	Mid South Benefit Plans of Kentucky Inc.	401316	Agent - General Lines	12/5/1994	8/15/2000
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Life	1/18/2002	11/22/2002
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Health	1/18/2002	11/22/2002