DEPARTMENT OF INSURANCE

Affiliations

Name	Willoughby, James Dallas	DOIID	380140	NAIC NPN	7204637

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	9/12/1996	1/4/1999
Inactive	Resident	Agent	Life	5/19/2017	3/1/2023
Inactive	Resident	Agent	Health	5/19/2017	3/1/2023
Inactive	Resident	Solicitor	General Lines	7/6/1983	7/14/2000
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	10/16/2003	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/16/2003	11/21/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/6/1996	2/28/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/6/1996	2/28/2017
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	9/12/1996	1/4/1999
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	3/13/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	3/13/1996	3/31/1997
Inactive	Columbian Life Insurance Company	300810	Agent - Health	11/5/2004	7/24/2013
Inactive	Columbian Life Insurance Company	300810	Agent - Life	3/23/2018	2/28/2023
Inactive	Conseco Health Insurance Company	301725	Agent - Health	11/18/2005	4/24/2007
Inactive	Conseco Health Insurance Company	301725	Agent - Life	11/18/2005	4/24/2007
Inactive	Conseco Insurance Company	301202	Agent - Health	11/18/2005	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	11/18/2005	10/1/2010
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/24/1997	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/24/1997	12/31/1998
Inactive	Continental General Insurance Company	300691	Agent - Health	7/25/2001	11/19/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	7/25/2001	11/19/2002
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/16/2001	2/28/2017
Inactive	Franklin American Life Insurance Company	300563	Agent - Health	7/28/1998	7/7/1999
Inactive	Franklin American Life Insurance Company	300563	Agent - Life	7/28/1998	7/7/1999
Inactive	Homesteaders Life Company	300836	Agent - Life	5/19/2003	12/9/2008
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	11/13/2001	3/8/2017
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	11/13/2001	3/8/2017
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/5/2002	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/5/2002	6/7/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	5/29/2003	12/30/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	5/29/2003	12/31/2003
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	7/24/2003	6/24/2014
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	7/8/1996	11/12/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/8/1996	11/12/1996
Inactive	Southland National Insurance Corporation	517954	Agent - Health	6/3/2008	10/18/2011
Inactive	Southland National Insurance Corporation	517954	Agent - Life	6/3/2008	10/18/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/20/2004	4/29/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/20/2004	4/29/2011
Inactive	Union Security Insurance Company	301844	Agent - Health	12/13/1999	2/28/2017
Inactive	Union Security Insurance Company	301844	Agent - Life	12/13/1999	6/14/2006
Inactive	United American Insurance Company	300910	Agent - Health	8/30/1999	2/21/2000
Inactive	United American Insurance Company	300910	Agent - Life	8/30/1999	2/21/2000
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/29/2010
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/29/2010

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	Agent - Life	2/26/1996	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	2/26/1996	2/10/2004
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Life	2/22/1996	2/28/2017
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Health	2/22/1996	2/28/2017
Inactive	Risk and Technology Advisors Inc.	580500	Agent - Life	12/15/2003	2/28/2017
Inactive	Risk and Technology Advisors Inc.	580500	Agent - Health	12/15/2003	2/28/2017
Inactive	The J.H. Churchill Funeral Home	842327	Agent - Life	6/5/2014	6/17/2016