DEPARTMENT OF INSURANCE

Affiliations

Name	Conrad, Richard M	DOIID	383915	NAIC NPN	7206301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	Life	3/6/2006	8/1/2009
Inactive	Resident	Agent	Property	2/19/2007	8/1/2009
Inactive	Resident	Agent	Casualty	2/19/2007	8/1/2009
Inactive	Resident	Agent	Health	3/6/2006	8/1/2009
* 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	3/30/2007	12/1/2008
Inactive	AIG Assurance Company	300897	Agent - Property	3/30/2007	12/1/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/6/2006	3/31/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/6/2006	3/31/2007
Inactive	Assurity Life Insurance Company	301099	Agent - Health	1/29/2007	12/23/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/29/2007	12/23/2008
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/30/2007	8/1/2009
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	5/31/2007	8/1/2009
Denied	CHA HMO, Inc.	300662	Agent - Health
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/1/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/17/2007	8/1/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/17/2007	8/1/2009
Inactive	Granite State Insurance Company	300818	Agent - Casualty	3/30/2007	12/1/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	3/30/2007	12/1/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/18/2007	8/1/2009
Inactive	Humana Insurance Company	301104	Agent - Health	4/18/2007	8/1/2009
Inactive	Humana Insurance Company	301104	Agent - Life	4/18/2007	8/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/18/2007	8/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/18/2007	8/1/2009
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	3/30/2007	12/1/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	3/30/2007	12/1/2008
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	4/10/2007	6/14/2008
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	4/10/2007	6/14/2008
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	2/19/2007	1/23/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	2/19/2007	1/23/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Property	2/19/2007	1/23/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	12/8/2006	1/23/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/8/2006	1/23/2008
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	12/7/2006	1/23/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	2/19/2007	1/23/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	2/19/2007	1/23/2008
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/19/2007	1/23/2008
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	2/19/2007	1/23/2008
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/19/2007	1/23/2008
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/19/2007	1/23/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	12/1/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	12/1/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/14/1993	7/1/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/14/1993	7/1/1996
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/19/2007	1/23/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/19/2007	1/23/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kelly Wooten Insurance Agency, Inc.	398976	Agent - Life	3/9/2009	8/1/2009
Inactive	Kelly Wooten Insurance Agency, Inc.	398976	Agent - Health	3/9/2009	8/1/2009
Inactive	Kelly Wooten Insurance Agency, Inc.	398976	Agent - Property	3/9/2009	8/1/2009
Inactive	Kelly Wooten Insurance Agency, Inc.	398976	Agent - Casualty	3/9/2009	8/1/2009