DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Daniel Sr, Terry Ray	DOIID	391327	NAIC NPN	7209378

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/10/1985	6/19/2000
Inactive	Resident	Agent	Life	5/10/1985	6/19/2000
* 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 Life Insurance Company	301209	Agent - Health	2/27/1996	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/27/1996	6/7/2000
Inactive	Continental General Insurance Company	300691	Agent - Health	12/15/1992	8/2/1999
Inactive	Continental General Insurance Company	300691	Agent - Life	12/15/1992	8/2/1999
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	5/10/1985	6/7/1999
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	5/10/1985	6/7/1999
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/10/1985	6/7/1999
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/10/1985	6/7/1999

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	2/15/1996	6/19/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/15/1996	6/19/2000