DEPARTMENT OF INSURANCE

Affiliations

Name	Perkins, Fred	DOIID	380237	NAIC NPN	7204718

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Health Maintenance Organization
Inactive	Resident	Agent	Health	8/25/1999	8/31/2005
Inactive	Resident	Agent	Life	8/25/1999	8/31/2005
* 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	AF&L Insurance Company	301582	Agent - Health	8/5/2002	1/23/2003
Denied	Ability Insurance Company	301013	Agent - Health
Denied	Ability Insurance Company	301013	Agent - Life
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/15/2002	1/8/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/23/2002	1/8/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/25/1999	3/16/2001
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/25/1999	3/16/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Health		12/31/2001
Denied	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization
Inactive	Humana Insurance Company	301104	Agent - Health	4/10/2000	9/13/2002
Inactive	Humana Insurance Company	301104	Agent - Life	4/10/2000	9/13/2002
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	1/23/2002	2/6/2003
Denied	MassMutual Ascend Life Insurance Company	300320	Agent - Health
Denied	MassMutual Ascend Life Insurance Company	300320	Agent - Life
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/17/2002	1/24/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/20/2002	8/31/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/20/2002	8/31/2005
Inactive	Pruco Life Insurance Company	300954	Agent - Health	9/16/2002	8/31/2005
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/16/2002	8/31/2005
Inactive	Prudential Insurance Company of America	300784	Agent - Health	9/16/2002	8/31/2005
Inactive	Prudential Insurance Company of America	300784	Agent - Life	9/16/2002	8/31/2005
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	9/3/2002	1/8/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	9/3/2002	1/8/2003
Inactive	United American Insurance Company	300910	Agent - Health	6/21/2000	7/19/2001
Inactive	United American Insurance Company	300910	Agent - Life	6/21/2000	7/19/2001
Inactive	United Investors Life Insurance Company	301873	Agent - Life	7/6/2000	7/19/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Independent Brokers, LLC	502029	Agent - Life	11/5/2001	2/20/2003
Inactive	National Independent Brokers, LLC	502029	Agent - Health	11/5/2001	2/20/2003