DEPARTMENT OF INSURANCE

Affiliations

Name	Mills, Van W	DOIID	374242	NAIC NPN	1465083

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/20/1991	9/3/2013
Inactive	Non Resident	Agent	Health	6/20/1991	9/3/2013
* 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	3/31/2001	12/1/2006
Inactive	Ability Insurance Company	301013	Agent - Health	5/29/2001	4/8/2002
Inactive	Ability Insurance Company	301013	Agent - Life	5/29/2001	4/8/2002
Inactive	American Continental Insurance Company	643130	Agent - Health	10/27/2010	9/3/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	10/27/2010	9/3/2013
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	2/21/2011	1/9/2012
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/21/2011	1/9/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/17/2010	9/3/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/17/2010	9/3/2013
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	6/20/1991	7/23/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	6/20/1991	7/23/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	4/17/2009	7/23/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	4/17/2009	7/23/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/5/2010	8/27/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/28/2011	9/3/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/28/2011	9/3/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/2/2008	7/26/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/1/2008	7/26/2010
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/16/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/16/2011	12/26/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/2/2009	8/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	11/20/2009	8/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	11/20/2009	8/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/5/2010	8/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/5/2010	8/27/2010
Inactive	Independent Order of Foresters	300743	Agent - Life	3/11/2011	10/2/2013
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	2/10/2011	2/9/2012
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	2/10/2011	2/9/2012
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/2/2010	1/10/2012
Inactive	Medico Insurance Company	301559	Agent - Health	5/29/2001	4/8/2002
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/17/2010	1/17/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/30/2011	11/4/2011
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	4/23/2001	4/12/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	4/23/2001	4/12/2002
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	5/23/2000	8/28/2000
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/8/2010	9/3/2013
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/10/2000	10/20/2000
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/10/2000	10/20/2000
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	7/28/1998	5/17/1999
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	7/28/1998	5/17/1999
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	9/2/2010	1/10/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/4/2010	1/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/4/2010	1/17/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/30/2011	6/21/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/21/2011	6/21/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	3/19/2001	9/19/2001
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	3/19/2001	9/19/2001
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/17/2010	9/3/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/17/2010	9/3/2013