DEPARTMENT OF INSURANCE

Affiliations

Name	Fallis, John Vincent	DOIID	373999	NAIC NPN	549629

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	6/1/2023
Inactive	Resident	Agent	Health Maintenance Organization	5/16/1994	3/1/2001
Inactive	Resident	Agent	Health	8/31/1983	5/17/2023
Inactive	Resident	Agent	Casualty	8/15/2000	5/17/2023
Inactive	Resident	Agent	Life	8/31/1983	5/17/2023
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	5/17/2023
Inactive	Resident	Agent	General Lines	8/19/1982	8/15/2000
* 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	ACE American Insurance Company	300625	Agent - Casualty	12/2/2011	5/17/2023
Inactive	ACE American Insurance Company	300625	Agent - General Lines	3/23/1987	3/31/1996
Inactive	ACE American Insurance Company	300625	Agent - Property	12/2/2011	6/1/2023
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	10/28/2014	5/17/2023
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	3/23/1987	3/31/1996
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	10/28/2014	6/1/2023
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	10/28/2014	5/17/2023
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	3/23/1987	3/31/1996
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	10/28/2014	6/1/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	12/3/2020	1/9/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	12/3/2020	1/9/2023
Inactive	Aetna Health Inc.	300694	Agent - Health	5/8/2002	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/30/2019	7/7/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/30/2019	7/7/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/30/2019	7/7/2022
Inactive	All Savers Insurance Company	301940	Agent - Health	10/30/2019	5/17/2023
Inactive	All Savers Insurance Company	301940	Agent - Life	10/30/2019	5/17/2023
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/28/1994	7/30/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/28/1994	7/30/2004
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - General Lines	3/31/1994	8/15/2000
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	9/26/2002	5/17/2023
Inactive	American Automobile Insurance Company	300953	Agent - General Lines	3/26/1993	3/31/1996
Inactive	American Automobile Insurance Company	300953	Agent - Property	9/26/2002	6/1/2023
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	8/25/1993	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	8/25/1993	12/16/1996
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	4/15/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	4/15/2022
Inactive	American Fidelity Assurance Company	301004	Agent - Health	11/20/2000	11/18/2008
Inactive	American Fidelity Assurance Company	301004	Agent - Life	11/20/2000	11/18/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	12/26/2001	1/15/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	4/27/2001	12/20/2013
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	12/26/2001	12/20/2013
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	2/23/2004	5/17/2023
Inactive	American Interstate Insurance Company	301092	Agent - Property	2/23/2004	6/1/2023
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	4/15/2022
Inactive	American States Insurance Company	301230	Agent - General Lines	1/25/1989	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	4/15/2022
Inactive	American States Life Insurance Company	301884	Agent - Health	1/25/1989	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	1/25/1989	11/26/2001
Inactive	American United Life Insurance Company	300498	Agent - Health	12/15/2015	5/17/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	12/15/2015	5/17/2023
Inactive	Amerisure Insurance Company	300298	Agent - Casualty	7/1/2008	10/31/2008
Inactive	Amerisure Insurance Company	300298	Agent - Property	7/1/2008	10/31/2008
Inactive	Amerisure Mutual Insurance Company	301576	Agent - Casualty	7/1/2008	10/31/2008
Inactive	Amerisure Mutual Insurance Company	301576	Agent - Property	7/1/2008	10/31/2008
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	5/17/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021	5/17/2023
Inactive	Assurance Company of America	300432	Agent - Casualty	5/31/2002	12/16/2014
Inactive	Assurance Company of America	300432	Agent - General Lines	10/20/1994	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	5/31/2002	12/16/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/8/2015	6/21/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/8/2015	6/21/2016
Inactive	Augustar Life Insurance Company	301816	Agent - Health	6/11/1992	3/31/1997
Inactive	Augustar Life Insurance Company	301816	Agent - Life	6/11/1992	3/31/1997
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	5/17/2023
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	6/1/2023
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	3/23/1987	3/31/1996
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/28/2020	5/17/2023
Inactive	Berkshire Life Insurance Company	301158	Agent - Health	7/24/2000	7/1/2001
Inactive	Berkshire Life Insurance Company	301158	Agent - Life	7/24/2000	7/1/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	9/16/2013
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	9/12/2005	5/17/2023
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	5/3/2016	5/17/2023
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	5/3/2016	5/17/2023
Inactive	C.M. Life Insurance Company	301335	Agent - Health	12/26/2007	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	12/26/2007	11/12/2012
Inactive	Centre Life Insurance Company	300341	Agent - Health	5/26/1994	3/31/1997
Inactive	Century Indemnity Company	301310	Agent - General Lines	3/23/1987	3/31/1996
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	5/17/2023
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	6/1/2023
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/1/1991	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/1/1991	3/31/1997
Inactive	Chase Life and Annuity Company	300145	Agent - Life	2/28/1989	12/11/1996
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	2/8/2016	5/17/2023
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	2/8/2016	6/1/2023
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	2/8/2016	5/17/2023
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	2/8/2016	6/1/2023
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	2/8/2016	5/17/2023
Inactive	Cincinnati Insurance Company	301298	Agent - Property	2/8/2016	6/1/2023
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	2/10/2016	5/17/2023
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/10/2016	5/17/2023
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/17/1997	11/13/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/17/1997	11/13/2006
Inactive	Combined Insurance Company of America	301472	Agent - Health	12/1/1994	3/31/1997
Inactive	Combined Insurance Company of America	301472	Agent - Life	12/1/1994	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/15/2008	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/20/2004	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/20/2004	7/2/2013
Inactive	CompDent Corporation	301387	Agent - Health	3/31/2003	12/23/2004
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021	5/17/2023
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/21/2018	5/18/2019
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	3/16/2015	5/17/2023
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	3/16/2015	5/17/2023
Inactive	Dental Care Plus Inc.	301495	Agent - Health	10/14/2014	5/17/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2002	5/17/2023
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	4/25/1996	4/10/2003
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	4/25/1996	4/10/2003
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	6/30/2004	12/10/2010
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	6/30/2004	12/10/2010
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	2/5/2002	12/10/2010
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	2/5/2002	12/10/2010
Inactive	FCCI Insurance Company	557454	Agent - Casualty	5/28/2003	12/23/2009
Inactive	FCCI Insurance Company	557454	Agent - Property	5/28/2003	12/23/2009
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	5/31/2002	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	5/31/2002	8/20/2012
Inactive	Farmington Casualty Company	301137	Agent - General Lines	3/7/1990	3/31/1996
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	7/12/2005	5/17/2023
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/12/2005	5/17/2023
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	5/15/2001	12/5/2013
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	5/15/2001	12/5/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	5/15/2001	12/5/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	5/15/2001	12/5/2013
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	9/26/2002	5/17/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	9/26/2002	6/1/2023
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/15/2002	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/16/1999	1/1/2007
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	12/30/2002
Inactive	First National Insurance Company of America	301690	Agent - General Lines	4/11/1991	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	12/30/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	10/17/1995	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	10/17/1995	12/23/2008
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	12/30/2002
Inactive	General Insurance Company of America	300261	Agent - General Lines	4/10/1992	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	12/30/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/3/2013	1/5/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/3/2013	1/5/2015
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	4/9/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	4/9/2009
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	5/31/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	5/31/2002	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/30/2014	10/1/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/30/2014	10/1/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/30/2013	10/18/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/30/2013	10/18/2022
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/30/2013	10/18/2022
Inactive	Grange Insurance Company	300234	Agent - Property	8/30/2013	10/18/2022
Inactive	Grange Life Insurance Company	300128	Agent - Health	8/30/2013	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	8/30/2013	12/28/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/30/2013	10/18/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/30/2013	10/18/2022
Inactive	Great American Insurance Company	301586	Agent - Casualty	2/10/2009	5/31/2019
Inactive	Great American Insurance Company	301586	Agent - Property	2/10/2009	5/31/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	2/10/2009	5/31/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	2/10/2009	5/31/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/15/1994	5/17/2023
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/15/1994	5/17/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/28/1993	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/28/1993	10/5/2021
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/15/2000	3/28/2002
Inactive	Hamilton Mutual Insurance Company	301111	Agent - General Lines	4/3/1989	8/15/2000
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/15/2000	3/28/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/27/2011	12/17/2012
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/27/2011	12/17/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/2/2010	5/17/2023
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/2/2010	5/17/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/14/2021	5/17/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/14/2021	5/17/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	8/18/1995	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	5/17/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/13/1994	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	2/12/1991	5/17/2023
Inactive	Humana Insurance Company	301104	Agent - Life	2/12/1991	5/17/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/11/2018	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/2/2020	5/17/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/14/2021	5/17/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/14/2021	5/17/2023
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/19/2001	2/24/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/10/1997	12/12/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/10/1997	12/12/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/15/2000	3/25/2003
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	3/23/1987	8/15/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/15/2000	3/25/2003
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	3/17/2004
Inactive	Insurance Company of North America	300226	Agent - General Lines	3/23/1987	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	3/17/2004
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	1/22/2007	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	1/22/2007	7/2/2007
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	8/16/2017	5/17/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/16/2017	5/17/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/16/2016	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/16/2016	1/22/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/4/2010	4/15/2022
Inactive	Life Insurance Company of North America	300711	Agent - Health	2/23/1995	11/13/2002
Inactive	Life Insurance Company of North America	300711	Agent - Life	2/23/1995	11/13/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	8/5/1998	1/20/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	8/5/1998	1/20/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	5/17/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	5/17/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	6/29/2007	5/17/2023
Inactive	MICO Insurance Company	301664	Agent - Casualty	9/1/2006	12/13/2011
Inactive	MICO Insurance Company	301664	Agent - General Lines	1/15/1990	3/31/1996
Inactive	MICO Insurance Company	301664	Agent - Property	9/1/2006	12/13/2011
Inactive	MONY Life Insurance Company	301141	Agent - Health	2/5/2002	2/18/2003
Inactive	MONY Life Insurance Company	301141	Agent - Life	2/5/2002	2/18/2003
Inactive	Maryland Casualty Company	301719	Agent - Casualty	5/31/2002	12/16/2014
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/20/1994	3/31/1996
Inactive	Maryland Casualty Company	301719	Agent - Property	5/31/2002	12/16/2014
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	12/26/2007	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	12/26/2007	11/12/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/18/2014	5/17/2023
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/18/2014	5/17/2023
Inactive	Midland National Life Insurance Company	300923	Agent - Health	9/9/2009	11/22/2010
Inactive	Midland National Life Insurance Company	300923	Agent - Life	9/9/2009	11/22/2010
Inactive	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	9/9/2009	10/24/2016
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	10/16/2002	12/23/2009
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	10/16/2002	12/23/2009
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/8/2019	5/17/2023
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/8/2019	6/1/2023
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/15/2000	5/17/2023
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	1/15/1990	8/15/2000
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/15/2000	6/1/2023
Inactive	Nassau Life Insurance Company	301406	Agent - Health	3/15/1999	12/14/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	3/15/1999	12/14/2004
Inactive	National Surety Corporation	300087	Agent - Casualty	4/5/2011	5/17/2023
Inactive	National Surety Corporation	300087	Agent - Property	4/5/2011	6/1/2023
Inactive	National Travelers Life Company	300304	Agent - Health	12/17/1997	10/4/1999
Inactive	National Travelers Life Company	300304	Agent - Life	12/17/1997	10/4/1999
Inactive	National Trust Insurance Company	300367	Agent - Casualty	10/16/2002	12/23/2009
Inactive	National Trust Insurance Company	300367	Agent - Property	10/16/2002	12/23/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	1/30/2013	5/17/2023
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/31/2001	12/16/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	5/24/2017	12/10/2018
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/24/2017	12/10/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/13/2001	10/22/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	5/31/2002	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	5/31/2002	12/16/2014
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/28/2002	7/28/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/28/2002	7/28/2009
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	4/27/2001	11/19/2001
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	4/27/2001	11/19/2001
Inactive	PHL Variable Insurance Company	300525	Agent - Health	3/25/1999	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	3/25/1999	2/13/2004
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/25/1998	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/25/1998	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	5/16/1994	3/1/2001
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	10/28/2014	5/17/2023
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	8/19/1982	3/31/1996
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	10/28/2014	6/1/2023
Inactive	Pacific Life Insurance Company	301848	Agent - Health	9/18/2000	2/2/2007
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/19/2009	5/7/2010
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	5/19/2009	5/7/2010
Inactive	Pan-American Assurance Company	301533	Agent - Health	6/21/1999	10/14/2004
Inactive	Pan-American Assurance Company	301533	Agent - Life	6/21/1999	10/14/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	10/27/1992	5/14/1999
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	10/27/1992	5/14/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/10/1987	11/10/2004
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/10/1987	11/10/2004
Inactive	Pegasus Insurance Company	301528	Agent - Casualty	9/26/2002	10/18/2005
Inactive	Pegasus Insurance Company	301528	Agent - Property	9/26/2002	10/18/2005
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	9/26/2002	9/2/2022
Inactive	Pie Insurance Company (The)	300514	Agent - Property	9/26/2002	9/2/2022
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/10/1985	5/17/2023
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/10/1985	5/17/2023
Inactive	Principal National Life Insurance Company	301926	Agent - Life	8/8/2016	5/17/2023
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	1/4/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/2/2013	11/23/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/16/1987	5/17/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/16/1987	5/17/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Health	12/7/2001	12/22/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/22/2017	12/21/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	12/7/2001	12/22/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Health	3/4/1999	5/17/2023
Inactive	Prudential Insurance Company of America	300784	Agent - Life	3/4/1999	5/17/2023
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	12/7/2001	5/17/2023
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	7/27/1995	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	7/27/1995	9/3/2004
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	10/1/2017	5/17/2023
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	10/1/2017	5/17/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	4/15/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	4/11/1991	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	4/15/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	12/30/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	4/11/1991	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	12/30/2002
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	12/30/2002
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/18/1992	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	12/30/2002
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	1/7/2015	11/26/2019
Inactive	Sagamore Insurance Company	300942	Agent - Property	1/7/2015	11/26/2019
Inactive	Security Life Insurance Company of America	300936	Agent - Health	4/7/1998	3/23/2009
Inactive	Security Life Insurance Company of America	300936	Agent - Life	4/7/1998	3/23/2009
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	10/15/1992	12/30/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/15/1992	12/30/1998
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	6/28/2001	5/17/2023
Inactive	Selective Insurance Company of America	500018	Agent - Property	6/28/2001	6/1/2023
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	6/28/2001	5/17/2023
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	6/28/2001	6/1/2023
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/28/2001	5/17/2023
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	6/28/2001	6/1/2023
Inactive	Southland Life Insurance Company	301175	Agent - Health	5/10/1994	2/12/2003
Inactive	Southland Life Insurance Company	301175	Agent - Life	5/10/1994	2/12/2003
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	5/15/2001	12/14/2016
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	5/15/2001	12/14/2016
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	5/15/2001	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	5/15/2001	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	5/15/2001	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	5/15/2001	12/3/2014
Inactive	St. Paul Protective Insurance Company	301215	Agent - Casualty	8/15/2000	4/21/2003
Inactive	St. Paul Protective Insurance Company	301215	Agent - General Lines	3/31/1994	8/15/2000
Inactive	St. Paul Protective Insurance Company	301215	Agent - Property	8/15/2000	4/21/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	5/17/2023
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	6/1/2023
Inactive	Standard Insurance Company	300185	Agent - Health	3/11/2008	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	3/11/2008	12/5/2022
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	6/7/2012	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	6/7/2012	12/26/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/10/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	9/26/1996	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/10/2004
Inactive	State Life Insurance Company	301497	Agent - Health	8/14/2000	6/26/2003
Inactive	State Life Insurance Company	301497	Agent - Life	8/14/2000	6/26/2003
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	12/7/2010	5/17/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	2/10/2009	5/17/2023
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	12/7/2010	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	2/10/2009	8/22/2011
Inactive	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021	5/17/2023
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	11/26/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	11/26/2001
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	5/21/1998	7/24/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	5/21/1998	7/24/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	5/17/2023
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	8/17/1998	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	6/1/2023
Inactive	Time Insurance Company	300683	Agent - Health	3/27/1989	6/7/2010
Inactive	Time Insurance Company	300683	Agent - Life	3/27/1989	6/7/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	8/3/2011
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	6/2/2005	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/2/2005	10/1/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/1/2014	3/10/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2014	3/10/2016
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	12/5/2013
Inactive	TravCo Insurance Company	301828	Agent - General Lines	8/17/1998	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	12/5/2013
Inactive	TravCo Personal Insurance Company	301284	Agent - General Lines	3/31/1994	8/15/2000
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - General Lines	1/29/1991	3/31/1996
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	1/9/1989	3/31/1996
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	5/17/2023
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	1/9/1989	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	6/1/2023
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/15/2000	5/17/2023
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	4/11/2000	8/15/2000
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/15/2000	6/1/2023
Inactive	Travelers Commercial Insurance Company	301506	Agent - General Lines	1/24/1991	3/31/1996
Inactive	Travelers Constitution State Insurance Company	300575	Agent - Casualty	5/15/2001	12/12/2003
Inactive	Travelers Constitution State Insurance Company	300575	Agent - Property	5/15/2001	12/12/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	5/17/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	6/1/2023
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	12/5/2013
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/20/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/30/2013	10/18/2022
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/30/2013	10/18/2022
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	5/6/2002	9/26/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/6/2006	5/17/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/6/2006	5/17/2023
Inactive	Union Security Insurance Company	301844	Agent - Health	2/5/1992	1/9/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	2/5/1992	1/9/2015
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	5/15/2001	12/5/2013
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	5/15/2001	12/5/2013
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	8/10/2000	12/15/2005
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	8/10/2000	12/15/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/29/2016	5/17/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/29/2016	5/17/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/9/2017	5/17/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/9/2017	5/17/2023
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/22/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/22/1995	3/31/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	5/17/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	3/1/2000	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/29/2022	5/17/2023
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	5/3/1993	11/30/2006
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	5/3/1993	11/30/2006
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	9/26/2002	2/8/2022
Inactive	WCF Select Insurance Company	301898	Agent - Property	9/26/2002	2/8/2022
Inactive	West Coast Life Insurance Company	301607	Agent - Life	1/10/2006	11/23/2009
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/16/2001	6/18/2001
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	4/4/2011	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	4/4/2011	10/1/2014
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/28/2002	11/11/2022
Inactive	Westfield Insurance Company	301950	Agent - Property	10/28/2002	11/11/2022
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	10/28/2002	7/28/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/28/2002	7/28/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021
Inactive	Westport Insurance Corporation	301875	Agent - Health	3/8/2016	4/20/2023
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	7/24/1997	12/28/1998
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	7/24/1997	12/28/1998
Inactive		300277	Agent - Health	8/30/2000	1/1/2007
Inactive		300277	Agent - Life	8/30/2000	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/13/2001	5/17/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	5/17/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	5/17/2023
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Health	11/2/2022	12/9/2022
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Life	11/2/2022	12/9/2022
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Property	11/2/2022	12/9/2022
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Casualty	11/2/2022	12/9/2022
Inactive	Planchoice Inc.	400482	Agent - Health	2/12/2015	5/17/2023
Inactive	Planchoice Inc.	400482	Agent - Life	2/12/2015	5/17/2023
Inactive	Public Entity Insurance, Inc.	398396	Agent - Health	12/11/1987	10/3/2022
Inactive	Public Entity Insurance, Inc.	398396	Agent - General Lines	12/11/1987	8/15/2000
Inactive	Public Entity Insurance, Inc.	398396	Agent - Life	12/11/1987	10/3/2022
Inactive	Public Entity Insurance, Inc.	398396	Agent - Property	8/15/2000	10/3/2022
Inactive	Public Entity Insurance, Inc.	398396	Agent - Casualty	8/15/2000	10/3/2022