DEPARTMENT OF INSURANCE

Affiliations

Name	Tatlock, Terry Phillip	DOIID	374193	NAIC NPN	7202006

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/17/1991	9/30/2007
Inactive	Resident	Agent	Health Maintenance Organization	7/12/1996	3/1/2001
Inactive	Resident	Agent	Life	6/17/1991	9/30/2007
* 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	AF&L Insurance Company	301582	Agent - Health	2/16/1999	12/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/13/1996	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/13/1996	11/20/2007
Inactive	American General Life Insurance Company	301585	Agent - Health	4/27/2004	9/30/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	4/27/2004	9/30/2007
Inactive	American National Insurance Company	301861	Agent - Life	8/18/1994	7/29/2004
Inactive	American Network Insurance Company	301156	Agent - Health	5/1/2000	8/29/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/28/1995	9/30/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/28/1995	9/30/2007
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	8/11/1992	5/3/1999
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	8/11/1992	5/3/1999
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	7/12/1996	1/4/1999
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	12/1/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/1/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	6/22/1998	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	6/22/1998	4/1/2007
Inactive	Conseco Health Insurance Company	301725	Agent - Health	3/14/2005	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	3/14/2005	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	3/14/2005	1/23/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	3/14/2005	1/23/2007
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	7/26/1995	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	7/26/1995	3/9/1998
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	3/10/1997	10/18/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/25/2000	9/30/2007
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	6/25/1998	9/30/2007
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	6/25/1998	9/30/2007
Inactive	First National Life Insurance Company	300833	Agent - Health	3/23/1993	2/14/1997
Inactive	First National Life Insurance Company	300833	Agent - Life	3/23/1993	2/14/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/16/2005	9/30/2007
Inactive	Humana Insurance Company	301104	Agent - Health	2/16/2005	9/30/2007
Inactive	Humana Insurance Company	301104	Agent - Life	2/16/2005	9/30/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/16/2005	9/30/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/16/2005	9/30/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/10/1994	3/4/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/10/1994	3/4/1996
Inactive	Inter-State Assurance Company	301556	Agent - Life	12/22/1992	3/21/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Health	7/30/2005	9/30/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Life	7/30/2005	9/30/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/15/2002	9/30/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	7/15/2002	9/30/2007
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	6/2/2003	12/30/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	6/2/2003	12/31/2003
Inactive	LifeSecure Insurance Company	301629	Agent - Health	3/12/1996	3/31/1997
Inactive	LifeSecure Insurance Company	301629	Agent - Life	3/12/1996	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/17/1991	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/17/1991	8/2/2002
Inactive	MedAmerica Insurance Company	301568	Agent - Health	10/15/2003	9/30/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/9/1998	9/30/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/9/1998	9/30/2007
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/14/1996	5/10/2002
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	3/12/1996	3/29/1999
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	3/12/1996	3/29/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	7/24/2003	9/20/2005
Inactive	National States Insurance Company	300579	Agent - Health	3/24/1994	12/21/1998
Inactive	National States Insurance Company	300579	Agent - Life	3/24/1994	12/21/1998
Inactive	National Western Life Insurance Company	301515	Agent - Health	10/12/1994	1/17/1997
Inactive	National Western Life Insurance Company	301515	Agent - Life	10/12/1994	1/17/1997
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/20/2002	9/30/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	8/2/2004	7/9/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	8/2/2004	7/9/2007
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	2/21/1997	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	2/21/1997	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/6/1999	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/6/1999	11/30/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	9/30/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	9/30/2007
Inactive	Reserve National Insurance Company	301073	Agent - Health	12/5/2005	12/18/2006
Inactive	Reserve National Insurance Company	301073	Agent - Life	12/5/2005	12/18/2006
Inactive	SILAC Insurance Company	300535	Agent - Health	7/13/2001	2/16/2007
Inactive	SILAC Insurance Company	300535	Agent - Life	7/13/2001	2/16/2007
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	1/19/1995	2/15/2000
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	1/19/1995	2/15/2000
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/3/1999	9/26/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	8/3/1999	9/26/2007
Inactive	Trustmark Insurance Company	300317	Agent - Health	4/13/1993	12/31/1998
Inactive	Trustmark Insurance Company	300317	Agent - Life	4/13/1993	12/31/1998
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/2/1998	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/2/1998	11/21/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/9/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/9/1995	3/31/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	11/21/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	6/2/1998	3/1/2001
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/2/2004	9/30/2007
Inactive	Wilco Life Insurance Company	300122	Agent - Health	12/5/1997	3/26/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Life	12/5/1997	4/2/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Life	1/26/1993	9/30/2007
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Health	1/26/1993	9/30/2007
Inactive	Risk and Technology Advisors Inc.	580500	Agent - Life	11/10/2003	9/30/2007
Inactive	Risk and Technology Advisors Inc.	580500	Agent - Health	11/10/2003	9/30/2007
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003