DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Athas, Terry	DOIID	380989	NAIC NPN	258179

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/19/2022		6/30/2025
Active	Non Resident	Agent	Property	5/19/2022		6/30/2025
Active	Non Resident	Agent	Health	1/25/1991		6/30/2025
Active	Non Resident	Agent	Life	1/25/1991		6/30/2025
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/1/2012	3/3/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/1/2012	3/3/2016
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/18/1992	3/28/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/18/1992	3/28/2003
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/26/2008	7/6/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/26/2008	11/29/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/26/2008	11/29/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	7/6/2012
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/25/1991	12/18/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/25/1991	12/18/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2001	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2001	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2001	7/6/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/30/1999	8/30/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/30/1999	8/30/2022
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	5/21/1996	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	5/21/1996	6/25/2008
Active	Trustmark Insurance Company	300317	Agent - Health	2/4/2000
Active	Trustmark Insurance Company	300317	Agent - Life	2/4/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cetera Advisor Networks LLC	400814	Agent - Life	7/9/2019
Active	Cetera Advisor Networks LLC	400814	Agent - Health	7/9/2019
Active	Mesirow Ins Services Inc	510824	Agent - Life	8/24/2000
Active	Mesirow Ins Services Inc	510824	Agent - Health	8/24/2000