DEPARTMENT OF INSURANCE

Affiliations

Name	Childress, Anthony Wade	DOIID	389448	NAIC NPN	7208713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	9/30/2017
Inactive	Resident	Agent	Property	8/15/2000	9/30/2017
Inactive	Resident	Agent	Health	5/10/1995	9/30/2017
Inactive	Resident	Agent	Health Maintenance Organization	9/13/1995	7/23/1996
Inactive	Resident	Agent	General Lines	4/21/1997	8/15/2000
Inactive	Resident	Agent	Life	5/10/1995	9/30/2017
* 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	1/8/1998	6/8/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/8/1998	6/8/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/26/2010	7/31/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/26/2010	7/31/2011
Inactive	American National General Insurance Company	301944	Agent - Casualty	8/15/2000	2/6/2003
Inactive	American National General Insurance Company	301944	Agent - General Lines	2/24/2000	8/15/2000
Inactive	American National General Insurance Company	301944	Agent - Property	8/15/2000	2/6/2003
Inactive	American National Insurance Company	301861	Agent - Health	3/5/1997	10/21/2003
Inactive	American National Insurance Company	301861	Agent - Life	3/5/1997	10/21/2003
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	8/15/2000	2/6/2003
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	4/21/1997	8/15/2000
Inactive	American National Property and Casualty Company	300392	Agent - Property	8/15/2000	2/6/2003
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	12/24/2003	6/10/2005
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	12/24/2003	6/10/2005
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	9/13/1995	7/23/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/25/1995	7/23/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/25/1995	7/23/1996
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	5/24/2002	7/18/2002
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	5/24/2002	7/18/2002
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	4/17/2000	9/3/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	4/17/2000	9/3/2003
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/24/2003	10/13/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/24/2003	10/13/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Health	12/24/2003	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	12/24/2003	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	2/23/2005	1/23/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	2/23/2005	1/23/2007
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	5/16/1995	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	5/16/1995	3/9/1998
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	10/25/2007	2/13/2009
Inactive	FB Insurance Company (The)	301763	Agent - Health	10/25/2007	2/13/2009
Inactive	FB Insurance Company (The)	301763	Agent - Property	10/25/2007	2/13/2009
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	2/20/2014	4/8/2014
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	2/20/2014	4/8/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/20/2014	4/8/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/20/2014	4/8/2014
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/24/2003	12/29/2003
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/16/1995	9/16/1996
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/16/1995	9/16/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/10/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/10/1995	3/31/1997
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	3/31/2000	7/29/2001
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	3/31/2000	7/29/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/9/2003	10/7/2010
Inactive	Humana Insurance Company	301104	Agent - Health	7/9/2003	10/7/2010
Inactive	Humana Insurance Company	301104	Agent - Life	7/9/2003	10/7/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/7/1999	12/16/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/7/1999	12/16/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/5/2001	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/5/2001	11/7/2002
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/25/2007	2/13/2009
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	10/25/2007	2/13/2009
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/25/2007	2/13/2009
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	2/5/2001	9/11/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	2/5/2001	9/11/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Health	1/8/1998	6/8/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Life	1/8/1998	6/8/1998
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	6/5/1996	11/12/1997
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	6/9/2004	12/29/2004
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	6/9/2004	12/29/2004
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/17/1995	7/29/1996
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	10/17/1995	7/29/1996
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	11/2/1995	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	11/2/1995	8/24/2000
Inactive	Physicians Life Insurance Company	300924	Agent - Health	11/9/2001	11/30/2001
Inactive	Physicians Life Insurance Company	300924	Agent - Life	11/9/2001	1/23/2003
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	11/9/2001	1/23/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	2/25/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	2/25/1997	10/23/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/17/1999	12/4/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/17/1999	12/4/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/11/1998	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/11/1998	8/24/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/24/2003	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/24/2003	9/3/2004
Inactive	Senior Life Insurance Company	558267	Agent - Life	11/17/2004	5/16/2005
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	2/6/2012	8/31/2012
Inactive	Shelter General Insurance Company	301109	Agent - Property	2/6/2012	8/31/2012
Inactive	Shelter Life Insurance Company	300391	Agent - Health	2/6/2012	8/31/2012
Inactive	Shelter Life Insurance Company	300391	Agent - Life	2/6/2012	8/31/2012
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	2/6/2012	8/31/2012
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	2/6/2012	8/31/2012
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/25/2007	2/13/2009
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/25/2007	2/13/2009
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/13/1998	10/30/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/13/1998	10/30/2002
Inactive	Time Insurance Company	300683	Agent - Health	12/24/2003	9/3/2004
Inactive	Time Insurance Company	300683	Agent - Life	12/24/2003	9/3/2004
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/16/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/16/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	10/13/1995	7/18/1996
Inactive	Washington National Insurance Company	300587	Agent - Life	10/13/1995	7/18/1996
Inactive	Wilco Life Insurance Company	300122	Agent - Life	1/31/2003	6/6/2003
Inactive		300277	Agent - Life	12/24/2003	12/18/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	9/29/1995	7/15/1996
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	9/29/1995	7/15/1996
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	7/5/1995	7/23/1996
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	7/5/1995	7/23/1996
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	2/6/2012	8/31/2012
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	2/6/2012	8/31/2012
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	2/6/2012	8/31/2012
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	2/6/2012	8/31/2012
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/28/2002	7/31/2011
Inactive	Senior American Benefits, LLC	502287	Agent - Life	2/25/2000	3/5/2001
Inactive	Senior American Benefits, LLC	502287	Agent - Health	2/25/2000	3/5/2001