DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Newcom, Ann L	DOIID	379199	NAIC NPN	7204216

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/15/1997	3/31/1999
Inactive	Non Resident	Agent	Health	3/1/2001	4/30/2003
Inactive	Non Resident	Agent	Health Maintenance Organization	7/13/1990	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	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	4/30/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/13/1990	3/1/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Administrator - Not Applicable	3/15/1997	3/31/1999