DEPARTMENT OF INSURANCE

Affiliations

Name	Head, Edwin Leo	DOIID	380206	NAIC NPN	1442005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	8/7/1985	3/1/2001
Inactive	Resident	Agent	Health	1/18/1983	5/31/2005
Inactive	Resident	Agent	Life	1/18/1983	5/31/2005
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	1/15/1990	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/24/1999	5/31/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/24/1999	5/31/2005
Inactive	C.M. Life Insurance Company	301335	Agent - Health	7/31/1997	1/8/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Life	7/31/1997	1/8/2004
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	4/18/1986	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	4/18/1986	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	1/18/1983	5/31/2005
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	1/18/1983	5/31/2005
Inactive	General American Life Insurance Company	300280	Agent - Health	7/13/1989	12/11/1997
Inactive	General American Life Insurance Company	300280	Agent - Life	7/13/1989	12/11/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/7/1985	7/14/1997
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	3/22/1995	1/8/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	3/22/1995	1/8/2004
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	10/18/1989	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	10/18/1989	3/31/1997
Inactive	Pan-American Assurance Company	301533	Agent - Health	11/22/1989	2/21/2005
Inactive	Pan-American Assurance Company	301533	Agent - Life	11/22/1989	2/21/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	10/26/1989	2/21/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	10/26/1989	2/21/2005
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	5/20/1994	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	5/20/1994	3/31/1997
Inactive	Protective Life Insurance Company	300638	Agent - Health	10/8/1993	3/2/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	10/8/1993	3/2/2005
Inactive	Time Insurance Company	300683	Agent - Health	3/27/1987	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	3/27/1987	3/31/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/11/1995	10/16/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/11/1995	10/16/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/30/1999	5/31/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/30/1999	5/31/2005
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997