DEPARTMENT OF INSURANCE

Affiliations

Name	Decamp, Richard E	DOIID	389665	NAIC NPN	2518449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	2/19/2009	10/31/2014
Inactive	Non Resident	Agent	Health	2/19/2010	10/31/2014
Inactive	Non Resident	Agent	Health Maintenance Organization	8/27/1987	3/1/2001
* 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	2/10/1994	4/8/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/10/1994	4/8/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/23/1993	10/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/23/1993	10/31/2008
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/1/2011	10/31/2014
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/1/1996	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	3/13/1991	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	3/13/1991	3/31/1997
Inactive	Conseco Insurance Company	301202	Agent - Health	7/2/2004	8/30/2006
Inactive	Conseco Insurance Company	301202	Agent - Life	7/2/2004	8/30/2006
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/14/2002	10/31/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	1/14/1998	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	1/14/1998	10/28/2008
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/12/1992	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/17/2011	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/17/2011	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/9/2008
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	4/17/1998	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	4/17/1998	9/8/2000
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/4/2008	10/31/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/4/2008	10/31/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	10/31/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/29/1996	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	3/22/1995	10/31/2008
Inactive	Humana Insurance Company	301104	Agent - Life	3/22/1995	10/31/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	10/31/2008
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	10/31/2008
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	10/31/2008
Inactive	Life Insurance Company of North America	300711	Agent - Health	5/10/1994	10/31/2008
Inactive	Life Insurance Company of North America	300711	Agent - Life	5/10/1994	10/31/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/8/2013	5/14/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/8/2013	5/14/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/10/2000	10/31/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/10/2000	10/31/2008
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	8/23/1988	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	8/23/1988	3/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/18/1998	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/18/1998	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	8/27/1987	3/1/2001
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/23/1995	10/31/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/23/1995	10/31/2008
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	8/29/1995	10/31/2008
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	8/29/1995	10/31/2008
Inactive	Standard Insurance Company	300185	Agent - Health	12/1/2006	10/31/2008
Inactive	Standard Insurance Company	300185	Agent - Life	12/1/2006	10/31/2008
Inactive	Union Security Insurance Company	301844	Agent - Health	2/28/1995	10/31/2008
Inactive	Union Security Insurance Company	301844	Agent - Life	2/28/1995	10/31/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Health	3/16/2007	10/31/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	3/16/2007	10/31/2008
Inactive	Wilco Life Insurance Company	300122	Agent - Life	4/29/2004	6/23/2006

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	8/24/1999	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/24/1999	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	10/31/2014
Denied	Designated Agent Company Inc.	681257	Agent - Health
Inactive	Medlink Inc	400721	Agent - Life	10/22/1993	10/31/2008
Inactive	Medlink Inc	400721	Agent - Health	10/22/1993	10/31/2008