DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Melton, Anna J	DOIID	387491	NAIC NPN	1456516

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health Maintenance Organization	2/24/1998	3/1/2001
Inactive	Non Resident	Agent	Health	4/6/2010	3/6/2012
Inactive	Non Resident	Agent	Life	4/6/2010	3/6/2012
* 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	2/22/2006	9/30/2009
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	2/24/1998	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/22/2006	9/30/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/7/1994	9/30/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/7/1994	9/30/2005
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	8/21/1997	9/30/2005
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	8/21/1997	9/30/2005
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	9/30/2005
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	9/30/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/5/1997	9/30/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/5/1997	9/30/2005
Inactive	Medical Life Insurance Company	300693	Agent - Health	3/25/1997	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	3/25/1997	12/31/2004
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	4/1/1998	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	4/1/1998	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/1/1998	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/1/1998	8/24/2000
Inactive	Union Security Insurance Company	301844	Agent - Health	2/2/1999	9/30/2005
Inactive	Union Security Insurance Company	301844	Agent - Life	2/2/1999	9/30/2005

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 - Health	3/6/1998	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/6/1998	2/28/2003