DEPARTMENT OF INSURANCE

Affiliations

Name	Oliver, Douglas S	DOIID	378583	NAIC NPN	1616868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/20/1994	7/8/2015
Inactive	Non Resident	Agent	Casualty	10/14/2002	7/8/2015
Inactive	Non Resident	Agent	Property	10/14/2002	7/8/2015
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	10/14/2002	7/8/2015
Inactive	Non Resident	Agent	Life	12/20/1994	7/8/2015
* 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	AIG Assurance Company	300897	Agent - Casualty	10/1/2004	9/29/2010
Inactive	AIG Assurance Company	300897	Agent - Property	10/1/2004	9/29/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/4/2010	12/20/2012
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/4/2010	12/20/2012
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	1/4/2010	12/20/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/1/2004	5/9/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/1/2004	5/9/2005
Inactive	American General Life Insurance Company	301585	Agent - Health	3/19/2004	7/5/2005
Inactive	American General Life Insurance Company	301585	Agent - Life	3/19/2004	7/5/2005
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	3/19/2004	7/5/2005
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Health	12/20/1994	5/19/2000
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	12/20/1994	5/19/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/11/2011	7/8/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/11/2011	7/8/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/27/2006	8/16/2011
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/27/2006	8/16/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/13/2005	10/25/2011
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/24/2009	5/12/2011
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/24/2009	5/12/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/20/2010	8/16/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/20/2010	8/16/2011
Inactive	Granite State Insurance Company	300818	Agent - Casualty	5/23/2005	9/29/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	5/23/2005	9/29/2010
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/23/2005	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/23/2005	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/23/2005	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/23/2005	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/23/2005	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/23/2005	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	3/23/2005	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	3/23/2005	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/23/2005	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/23/2005	11/5/2008
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007	9/29/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/16/2007	9/29/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/15/2005	3/27/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/15/2005	3/27/2006
Inactive	Omni Indemnity Company	301456	Agent - Casualty	3/23/2005	7/8/2015
Inactive	Omni Indemnity Company	301456	Agent - Property	3/23/2005	7/8/2015
Inactive	Omni Insurance Company	301545	Agent - Casualty	3/23/2005	10/8/2009
Inactive	Omni Insurance Company	301545	Agent - Property	3/23/2005	10/8/2009
Inactive	Physicians Life Insurance Company	300924	Agent - Life	6/21/2011	12/13/2012
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	6/21/2011	12/13/2012
Inactive	Pioneer American Insurance Company	301268	Agent - Health	2/23/1995	8/27/2004
Inactive	Pioneer American Insurance Company	301268	Agent - Life	2/23/1995	8/27/2004
Inactive	Pioneer Security Life Insurance Company	301344	Agent - Health	2/23/1995	3/13/2008
Inactive	Pioneer Security Life Insurance Company	301344	Agent - Life	2/23/1995	3/13/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/5/2004	6/12/2006
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/5/2004	6/12/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/5/2004	6/12/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/5/2004	6/12/2006
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	8/27/2004	12/8/2011
Inactive	Sagamore Insurance Company	300942	Agent - Property	8/27/2004	12/8/2011
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/23/2005	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/23/2005	11/5/2008
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	3/24/2009	5/12/2011
Inactive	Truck Insurance Exchange	300335	Agent - Property	3/24/2009	5/12/2011
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	3/23/2005	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	3/23/2005	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/23/2005	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/23/2005	11/5/2008
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	6/12/2006
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	6/12/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/11/2011	7/8/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/11/2011	7/8/2015
Inactive	Insurance USA, Inc.	592302	Agent - Life	8/5/2004	3/13/2008
Inactive	Insurance USA, Inc.	592302	Agent - Casualty	8/5/2004	3/31/2012
Inactive	Insurance USA, Inc.	592302	Agent - Property	8/5/2004	3/31/2012
Inactive	Medlink Inc	400721	Agent - Life	3/18/2011	7/8/2015
Inactive	Medlink Inc	400721	Agent - Health	3/18/2011	7/8/2015