DEPARTMENT OF INSURANCE

Affiliations

Name	Clapp, Rebecca Carol	DOIID	389032	NAIC NPN	5938124

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/29/1988	8/1/2017
Inactive	Resident	Agent	Health Maintenance Organization	12/11/1996	1/4/1999
Inactive	Resident	Agent	Health	7/29/1988	8/1/2017
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	10/6/2003	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/6/2003	11/21/2007
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/1/2002	12/23/2002
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	12/11/1996	1/4/1999
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	7/13/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	7/13/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/29/1988	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/29/1988	12/14/2016
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	9/2/2003	8/1/2017
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	9/2/2003	8/1/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/25/1996	5/12/2003
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/28/1996	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/28/1996	3/31/1999
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	11/2/1988	4/24/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	11/2/1988	4/24/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	12/6/2000	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	12/6/2000	11/19/2003
Inactive	Time Insurance Company	300683	Agent - Health	1/16/2001	11/15/2002
Inactive	Time Insurance Company	300683	Agent - Life	1/16/2001	11/15/2002
Inactive	Union Bankers Insurance Company	301769	Agent - Health	3/8/1989	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	3/8/1989	6/12/1998
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

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	6/25/1996	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	2/28/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003