DEPARTMENT OF INSURANCE

Affiliations

Name	Scott, Gary R	DOIID	377606	NAIC NPN	7203560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	12/28/1990	9/30/2017
Inactive	Resident	Agent	Health	12/28/1990	9/30/2017
Inactive	Resident	Agent	Health Maintenance Organization	8/10/1998	3/1/2001
* 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	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	8/27/2015
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	8/27/2015
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/2/2004	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/2/2004	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/23/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/23/2009	12/7/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	9/12/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/10/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/22/1998	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Life	6/22/1998	9/12/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/4/2007	8/19/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/4/2007	8/19/2009
Inactive	Medical Life Insurance Company	300693	Agent - Health	8/21/2000	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	8/21/2000	12/31/2004
Inactive	Time Insurance Company	300683	Agent - Health	6/16/1992	3/28/2000
Inactive	Time Insurance Company	300683	Agent - Life	6/16/1992	3/28/2000
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	9/30/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	9/30/2017
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/5/2001	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/5/2001	10/1/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/16/2015	9/30/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/16/2015	9/30/2017

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	5/25/2005	1/9/2014
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	9/30/2017
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	9/30/2017