DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Cynthia J	DOIID	384439	NAIC NPN	516205

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	9/16/2002		6/30/2026
Active	Resident	Agent	Variable Life and Variable Annuities	9/16/2002		6/30/2026
Active	Resident	Agent	Life	9/16/2002		6/30/2026
Inactive	Resident	Agent	Health Maintenance Organization	5/12/1986	3/1/2001
Inactive	Resident	Agent	Prepaid Dental Plan	10/25/1988	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	10/22/2002	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	10/18/2000	3/1/2001
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/22/2002	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/22/2002	4/24/2017
Active	All Savers Insurance Company	301940	Agent - Health	3/15/2012
Active	All Savers Insurance Company	301940	Agent - Life	6/14/2024
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/22/2002	9/12/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/21/2021	12/23/2024
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	4/22/2021	12/21/2024
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	6/24/2005	7/17/2008
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/19/2017
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/19/2017
Inactive	American Fidelity Assurance Company	301004	Agent - Health	9/20/2002	12/22/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Life	9/20/2002	12/22/2004
Active	American General Life Insurance Company	301585	Agent - Health	4/29/2013
Active	American General Life Insurance Company	301585	Agent - Life	4/29/2013
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	7/5/2005	10/25/2012
Active	American Heritage Life Insurance Company	300272	Agent - Health	9/30/2014
Active	American Heritage Life Insurance Company	300272	Agent - Life	9/30/2014
Inactive	American Republic Insurance Company	300861	Agent - Health	5/2/1990	12/18/1998
Inactive	American Republic Insurance Company	300861	Agent - Life	5/2/1990	12/18/1998
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	American United Life Insurance Company	300498	Agent - Health	10/1/2015	7/10/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	10/1/2015	7/10/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/23/1987	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/15/1995	7/1/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/15/1995	7/1/2002
Inactive	Athene Annuity and Life Company	301893	Agent - Life	2/22/2011	1/13/2016
Active	Banner Life Insurance Company	301696	Agent - Life	9/14/2009
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	6/21/2017
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	6/21/2017
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	10/28/2005
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	10/28/2005
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	10/31/1990	7/1/2002
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Active	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	11/14/2014
Inactive	C.M. Life Insurance Company	301335	Agent - Health	10/9/2003	11/9/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/9/2003	11/9/2012
Inactive	Celtic Insurance Company	300877	Agent - Health	9/25/1995	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	9/25/1995	3/31/1997
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	4/18/2019
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	9/30/2002	10/14/2008
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	10/11/2002	4/26/2004
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/5/2011
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/5/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/16/2008	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/16/2008	11/22/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/16/2008	11/22/2011
Inactive	CompDent Corporation	301387	Agent - Health	3/1/2001	7/1/2002
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	10/25/1988	3/1/2001
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/12/2006	5/20/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/12/2006	5/20/2009
Inactive	Conseco Insurance Company	301202	Agent - Health	9/12/2006	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	9/12/2006	10/1/2010
Inactive	Continental American Insurance Company	301700	Agent - Health	10/31/2017	12/26/2024
Inactive	Continental American Insurance Company	301700	Agent - Life	10/31/2017	12/26/2024
Inactive	Continental Casualty Company	301019	Agent - Health	5/1/2000	7/1/2002
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	6/1/2006	12/29/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	6/1/2006	12/29/2009
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	10/30/2002	7/28/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/27/2020	12/12/2024
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	10/3/2002	10/18/2004
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	10/3/2002	10/18/2004
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	7/18/2013	12/4/2014
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	7/18/2013	12/4/2014
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	7/18/2013	12/4/2014
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	7/18/2013	12/4/2014
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	7/18/2013	12/4/2014
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	7/18/2013	12/4/2014
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	1/6/2025
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	1/6/2025
Inactive	First Colony Life Insurance Company	301179	Agent - Health	4/13/2004	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/13/2004	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/22/1997	7/1/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/22/1997	7/1/2002
Inactive	General American Life Insurance Company	300280	Agent - Health	5/25/2005	11/14/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	5/25/2005	11/14/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/3/2006	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/3/2006	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/7/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/10/2004	11/15/2006
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/10/2004	11/15/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/26/2011	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/26/2011	12/13/2012
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	3/14/2024
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	3/14/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Health	3/6/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Life	3/6/2012
Inactive	HM Life Insurance Company	301408	Agent - Health	11/8/1989	7/1/2002
Inactive	HM Life Insurance Company	301408	Agent - Life	11/8/1989	7/1/2002
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/19/2004	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/19/2004	11/16/2011
Active	Health Resources Inc.	301210	Agent - Health	10/1/2002
Inactive	Health Resources Inc.	301210	Agent - Prepaid Dental Plan	5/30/2000	3/1/2001
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/17/2018	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/24/2018	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/13/2020	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/12/1986	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/27/2002	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	9/27/2002	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/17/2018	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/27/2020	12/15/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/17/2018	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/17/2018	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/27/2002	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/21/1996	12/16/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/21/1996	12/16/1998
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	5/25/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/25/2006	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	8/21/1989	8/29/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	8/21/1989	8/29/1996
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/9/2004	12/11/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	9/9/2004	12/20/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	9/9/2004	12/11/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	9/9/2004	12/20/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	1/22/2018
Active	Kansas City Life Insurance Company	301444	Agent - Health	9/16/2002
Active	Kansas City Life Insurance Company	301444	Agent - Life	9/16/2002
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/8/2013	10/29/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	7/1/2002
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	7/1/2002
Active	Life Insurance Company of North America	300711	Agent - Health	1/30/2008
Active	Life Insurance Company of North America	300711	Agent - Life	1/30/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	5/22/2003	5/17/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	5/22/2003	5/17/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	2/27/2006	12/18/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/27/2006	12/18/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	2/27/2006	12/18/2010
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/2/2002
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	12/2/2002
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	10/9/2003	8/17/2010
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	10/9/2003	8/17/2010
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	3/19/2019
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	2/18/2020
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/9/2003	11/9/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/9/2003	11/9/2012
Inactive	MedAmerica Insurance Company	301568	Agent - Health	10/15/2004	4/20/2015
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	11/8/2006	11/14/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	4/4/2012	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	4/4/2012	11/14/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/11/2002	12/14/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/11/2002	12/14/2012
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	10/17/1995	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	10/17/1995	3/31/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Life	4/26/2004	3/1/2005
Active	Minnesota Life Insurance Company	300488	Agent - Health	10/23/2015
Active	Minnesota Life Insurance Company	300488	Agent - Life	10/23/2015
Active	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	10/23/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/15/2019	8/1/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	4/19/2004	2/4/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	4/19/2004	2/4/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	7/23/2009	6/22/2010
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	7/23/2009	6/22/2010
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	7/23/2009	6/22/2010
Active	North American Company for Life and Health Insurance	300291	Agent - Life	7/25/2017
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	1/29/2001	7/1/2002
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	1/29/2001	7/1/2002
Active	Pacific Life Insurance Company	301848	Agent - Health	12/28/2023
Active	Pacific Life Insurance Company	301848	Agent - Life	5/23/2021
Active	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	5/23/2021
Inactive	Premier Dental Network Inc.	300661	Agent - Prepaid Dental Plan	11/4/1998	2/2/2001
Active	Principal Life Insurance Company	300129	Agent - Health	10/9/2002
Active	Principal Life Insurance Company	300129	Agent - Life	10/9/2002
Active	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	9/26/2005
Inactive	Professional Insurance Company	301281	Agent - Health	11/8/2002	6/20/2006
Inactive	Professional Insurance Company	301281	Agent - Life	11/8/2002	6/20/2006
Active	Protective Life Insurance Company	300638	Agent - Health	1/30/2023
Active	Protective Life Insurance Company	300638	Agent - Life	1/30/2023
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	1/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/16/2003	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/16/2003	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/14/2010	12/22/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/14/2010	12/22/2016
Active	Prudential Insurance Company of America	300784	Agent - Health	12/12/2008
Active	Prudential Insurance Company of America	300784	Agent - Life	12/12/2008
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/10/1995	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/10/1995	7/1/2002
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/5/2004	6/28/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/5/2004	6/28/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	8/5/2004	6/28/2005
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	4/24/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	4/24/2008
Active	Standard Insurance Company	300185	Agent - Health	10/4/2002
Active	Standard Insurance Company	300185	Agent - Life	10/4/2002
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	3/8/2005	12/14/2009
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	3/8/2005	12/1/2010
Pending Replacement	Superior Dental Care Inc.	300418	Agent - Health	10/21/2010
Active	Symetra Life Insurance Company	301691	Agent - Health	5/3/2024
Active	Symetra Life Insurance Company	301691	Agent - Life	5/3/2024
Active	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	5/3/2024
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	5/19/2004	7/24/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	5/19/2004	7/24/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	7/25/2007	7/24/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	7/25/2007	7/24/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	7/25/2007	7/24/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	7/25/2007	7/24/2009
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	1/11/2010	12/18/2015
Inactive	Time Insurance Company	300683	Agent - Health	11/19/2014	11/25/2019
Inactive	Time Insurance Company	300683	Agent - Life	11/19/2014	11/25/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	5/3/2021
Active	Transamerica Life Insurance Company	300571	Agent - Life	5/3/2021
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/18/1995	7/1/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	8/13/2001	7/1/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	2/21/2006	10/18/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/7/1999	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/7/1999	7/1/2002
Inactive	Union Bankers Insurance Company	301769	Agent - Health	5/14/1991	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Life	5/14/1991	3/31/1997
Inactive	Union Security Insurance Company	301844	Agent - Health	10/1/1991	12/31/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	10/1/1991	12/31/2000
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	11/4/2002	1/4/2013
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Prepaid Dental Plan	5/13/1999	3/1/2001
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	11/4/2002	1/4/2013
Active	United of Omaha Life Insurance Company	300156	Agent - Health	10/17/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	10/17/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	10/17/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/17/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	6/17/2024
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/4/2002	6/19/2006
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/4/2002	6/19/2006
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/17/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	11/12/1998	3/1/2001
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/17/2024
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/21/2010
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/21/2010
Inactive	West Coast Life Insurance Company	301607	Agent - Health	4/22/2011	9/18/2012
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/22/2011	9/18/2012
Inactive		300277	Agent - Health	4/20/1998	7/1/2002
Inactive		300277	Agent - Life	3/3/2003	1/1/2007

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	7/2/1992	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/2/1992	7/1/2002
Active	Dental Choice Agency Inc.	398085	Agent - Health	12/22/2004
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	2/13/2025
Inactive	Green & Halliburton, Inc.	398934	Agent - Health Maintenance Organization	10/29/1996	3/1/2001
Active	Green & Halliburton, Inc.	398934	Agent - Life	9/26/2002
Active	Green & Halliburton, Inc.	398934	Agent - Health	9/26/2002
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Active	L M Kohn & Company	398297	Agent - Life	9/22/2010
Active	L M Kohn & Company	398297	Agent - Health	9/22/2010
Active	L M Kohn & Company	398297	Agent - Variable Life and Variable Annuities	9/22/2010
Inactive	Marketnet Inc.	398936	Agent - Life	2/18/1994	7/13/1996
Inactive	Marketnet Inc.	398936	Agent - Health	2/18/1994	7/13/1996
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014