DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lane, Deborah M	DOIID	373215	NAIC NPN	7201578

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/24/2012	3/1/2018
Inactive	Resident	Agent	Life	10/15/2012	3/1/2018
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	4/30/2001	2/29/2008
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/30/2001	2/29/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/11/2001	2/29/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/16/2001	2/29/2008
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/13/2014	3/1/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/13/2014	3/1/2018
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	9/12/2006	2/29/2008
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	9/12/2006	2/29/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Nl, Llc	762387	Agent - Life	11/13/2014	3/1/2018
Inactive	Assuredpartners Nl, Llc	762387	Agent - Health	11/13/2014	3/1/2018