DEPARTMENT OF INSURANCE

Affiliations

Name	Ralston, Jenny S	DOIID	380175	NAIC NPN	7204667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/25/2009	9/1/2012
Inactive	Resident	Agent	Health Maintenance Organization	2/24/1999	11/1/2000
Inactive	Resident	Agent	General Lines	9/20/1989	8/15/2000
Inactive	Resident	Agent	Health	8/25/2009	9/1/2012
Inactive	Resident	Agent	Life	8/25/2009	9/1/2012
Inactive	Resident	Agent	Casualty	8/25/2009	9/1/2012
* 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	AIG Assurance Company	300897	Agent - Casualty	5/15/2006	8/31/2008
Inactive	AIG Assurance Company	300897	Agent - Property	5/15/2006	8/31/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/3/2002	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/3/2002	11/21/2007
Inactive	American Economy Insurance Company	300315	Agent - General Lines	9/20/1989	4/27/1998
Inactive	American States Insurance Company	301230	Agent - General Lines	9/20/1989	4/27/1998
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	9/20/1989	4/27/1998
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/23/2010	8/20/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/23/2010	8/20/2012
Inactive	Encova Life Insurance Company	301818	Agent - Health	8/5/1997	8/31/2008
Inactive	Encova Life Insurance Company	301818	Agent - Life	8/5/1997	8/31/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	5/15/2006	8/31/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	5/15/2006	8/31/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/23/2010	8/20/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/24/1999	11/1/2000
Inactive	Humana Insurance Company	301104	Agent - Health	11/23/2010	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/23/2010	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/23/2010	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/23/2010	8/20/2012
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/8/2007	8/31/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/8/2007	8/31/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/23/2010	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/23/2010	8/20/2012
Inactive	MICO Insurance Company	301664	Agent - Casualty	9/14/2009	12/13/2011
Inactive	MICO Insurance Company	301664	Agent - General Lines	10/28/1996	8/15/2000
Inactive	MICO Insurance Company	301664	Agent - Property	9/14/2009	12/13/2011
Inactive	MedAmerica Insurance Company	301568	Agent - Health	5/3/2004	12/20/2004
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	9/14/2009	9/1/2012
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	10/24/1996	8/15/2000
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	9/14/2009	9/1/2012
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	8/31/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	8/31/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/12/2006	8/31/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/12/2006	8/31/2008
Inactive	Star Casualty Insurance Company	681448	Agent - Casualty	10/22/2010	9/1/2012

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	9/8/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/8/1999	6/23/2008
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Life	2/6/2008	8/31/2008
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Health	2/6/2008	8/31/2008
Inactive	Shryock Insurance, LLC	586985	Agent - Life	3/26/2004	8/31/2008
Inactive	Shryock Insurance, LLC	586985	Agent - Health	3/26/2004	8/31/2008
Inactive	Shryock Insurance, LLC	586985	Agent - Property	3/26/2004	8/31/2008
Inactive	Shryock Insurance, LLC	586985	Agent - Casualty	3/26/2004	8/31/2008