DEPARTMENT OF INSURANCE

Affiliations

Name	Applegate, John C	DOIID	380019	NAIC NPN	2518438

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/15/1986	3/31/2021
Inactive	Non Resident	Agent	Health	9/15/1986	3/31/2021
Inactive	Non Resident	Agent	Health Maintenance Organization	6/23/1999	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	Aetna Health Inc.	300694	Agent - Health	3/1/2001	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	6/28/2000	3/1/2001
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/15/2014	3/31/2021
Inactive	Aetna Health Insurance Company	301583	Agent - Health	10/15/2014	3/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/15/2014	3/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/15/2014	3/31/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	2/19/1997	3/31/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	2/19/1997	3/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/7/1996	6/25/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/7/1996	6/25/2009
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	8/21/2002	3/10/2007
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	8/21/2002	3/10/2007
Inactive	Augustar Life Insurance Company	301816	Agent - Health	2/1/2005	12/23/2016
Inactive	Augustar Life Insurance Company	301816	Agent - Life	2/1/2005	12/23/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/12/2005	12/5/2016
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/7/1996	4/1/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/27/2016	5/2/2017
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/3/2009	9/8/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/3/2009	9/8/2010
Inactive	Dental Care Plus Inc.	301495	Agent - Health	1/15/2017	3/31/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/27/2016	5/2/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/15/2014	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Health	8/30/2011	3/7/2019
Inactive	Grange Life Insurance Company	300128	Agent - Life	8/30/2011	3/7/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/30/2014	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/27/2016	5/2/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/27/2016	5/2/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/23/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	10/27/2016	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/27/2016	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/27/2016	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/27/2016	5/2/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/30/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/26/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/26/2014	10/22/2015
Inactive	National Life Insurance Company	301852	Agent - Health	9/24/2008	8/11/2010
Inactive	National Life Insurance Company	301852	Agent - Life	9/24/2008	8/11/2010
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/15/1986	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/15/1986	11/25/2009
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/13/2015	11/23/2017
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/13/2015	11/23/2017
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	1/4/2000	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	1/4/2000	9/3/2004
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	3/31/2021
Inactive	Symetra Life Insurance Company	301691	Agent - Health	3/13/2000	12/22/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/13/2000	12/22/2006
Inactive	Time Insurance Company	300683	Agent - Health	11/10/2014	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	11/10/2014	11/23/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	3/31/2010
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/4/2007	10/1/2008
Inactive	Union Security Insurance Company	301844	Agent - Health	11/5/2004	3/13/2013
Inactive	Union Security Insurance Company	301844	Agent - Life	11/5/2004	3/13/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/20/1996	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/20/1996	6/20/2008
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	6/2/2009	3/31/2021
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	6/2/2009	3/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	3/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	3/31/2021