DEPARTMENT OF INSURANCE

Affiliations

Name	Bolin Jr, Elijah	DOIID	391334	NAIC NPN	1065044

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/6/1986	8/31/2011
Inactive	Resident	Agent	Life	6/6/1986	8/31/2011
Inactive	Resident	Agent	Health Maintenance Organization	3/2/1993	7/14/1997
* 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	7/18/1996	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/18/1996	11/21/2007
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	5/26/2004	3/23/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	2/7/2005	8/31/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	2/7/2005	8/31/2011
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	5/18/2005	7/25/2006
Inactive	American National Insurance Company	301861	Agent - Health	2/4/1993	1/15/1999
Inactive	American National Insurance Company	301861	Agent - Life	2/4/1993	1/15/1999
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	6/8/2007	9/18/2009
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/8/2007	9/18/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/2/1993	8/31/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/2/1993	8/31/2011
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/20/2005	12/15/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/20/2005	12/15/2006
Inactive	Athene Annuity and Life Company	301893	Agent - Life	12/23/2009	8/31/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/27/2010	8/31/2011
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	1/21/1998	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/21/1998	4/1/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	9/21/1993	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	9/21/1993	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/6/2009	8/31/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/6/2009	8/31/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/6/2009	8/31/2011
Inactive	Conseco Health Insurance Company	301725	Agent - Health	3/21/2005	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	3/21/2005	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	6/6/1986	12/29/2006
Inactive	Conseco Insurance Company	301202	Agent - Life	3/21/2005	12/29/2006
Inactive	Continental General Insurance Company	300691	Agent - Health	11/5/1986	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	11/5/1986	3/31/1997
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/31/2011
Inactive	Encova Life Insurance Company	301818	Agent - Life	4/28/2009	8/31/2011
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	7/25/2005	12/31/2008
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	12/3/2007	3/31/2011
Inactive	Everly Life Insurance Company	561641	Agent - Life	6/6/2008	12/18/2008
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/12/2001	8/31/2011
Inactive	First Colony Life Insurance Company	301179	Agent - Health	8/17/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/17/2006	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/3/1997	12/18/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/3/1997	12/18/2008
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/8/1994	3/31/1997
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/8/1994	3/31/1997
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/9/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/9/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/17/2005	12/14/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/17/2005	12/14/2007
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/4/2000	12/2/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/4/2000	12/2/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/30/2009	8/31/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/2/1993	7/14/1997
Inactive	Humana Insurance Company	301104	Agent - Health	4/4/2005	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	4/4/2005	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/4/2005	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/4/2005	8/31/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/30/2000	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/30/2000	11/7/2002
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/6/2009	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/6/2009	8/31/2011
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/24/1996	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/24/1996	8/2/2002
Inactive	Midland National Life Insurance Company	300923	Agent - Life	9/15/2005	3/28/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/19/2006	8/31/2011
Inactive	Nacolah Life Insurance Company	301887	Agent - Health	12/6/1994	1/1/2002
Inactive	Nacolah Life Insurance Company	301887	Agent - Life	12/6/1994	1/1/2002
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	12/15/2005	1/5/2007
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	12/15/2005	1/5/2007
Inactive	National Western Life Insurance Company	301515	Agent - Health	6/24/2004	7/21/2005
Inactive	National Western Life Insurance Company	301515	Agent - Life	6/24/2004	7/21/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	1/1/2002	3/22/2007
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/28/1999	3/22/2007
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	7/10/1996	10/12/2001
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	7/10/1996	10/12/2001
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	5/10/2001	9/27/2004
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	5/10/2001	9/27/2004
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/26/2010	8/31/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	11/18/2005	3/20/2009
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	8/10/2004	7/31/2007
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	8/10/2004	7/31/2007
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	4/9/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	4/9/1997	10/23/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/16/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/16/2010
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Health	11/20/2006	1/22/2009
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Life	11/20/2006	1/22/2009
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/8/2003	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/8/2003	9/3/2004
Inactive	Royal Neighbors of America	301646	Agent - Life	12/23/2008	8/31/2011
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	5/24/2011	8/31/2011
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	5/1/2002	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	5/1/2002	7/18/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	1/30/1995	3/31/1997
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	1/30/1995	3/31/1997
Inactive	Southland Life Insurance Company	301175	Agent - Health	5/17/1993	3/3/2000
Inactive	Southland Life Insurance Company	301175	Agent - Life	5/17/1993	3/3/2000
Inactive	Time Insurance Company	300683	Agent - Health	2/7/2001	10/10/2005
Inactive	Time Insurance Company	300683	Agent - Life	2/7/2001	10/10/2005
Inactive	Transamerica Assurance Company	300893	Agent - Health	9/28/1998	7/2/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	9/28/1998	7/2/2003
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	9/28/1998	2/15/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/28/1998	2/15/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/28/1998	2/15/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/31/2006	8/5/2008
Inactive	Trustmark Insurance Company	300317	Agent - Health	12/4/1999	11/5/2001
Inactive	Trustmark Insurance Company	300317	Agent - Life	12/4/1999	11/5/2001
Inactive	USG Annuity & Life Company	300457	Agent - Life	7/6/1992	10/4/2002
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	11/15/1996	5/17/1999
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	11/15/1996	5/17/1999
Inactive	Union Security Insurance Company	301844	Agent - Health	12/16/2008	8/31/2011
Inactive	Union Security Insurance Company	301844	Agent - Life	12/16/2008	8/31/2011
Inactive	United American Insurance Company	300910	Agent - Health	11/30/2004	12/15/2006
Inactive	United American Insurance Company	300910	Agent - Life	11/30/2004	12/15/2006
Inactive	United Home Life Insurance Company	300421	Agent - Life	2/1/2005	10/6/2006
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	5/25/1995	11/28/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	5/25/1995	11/28/2007
Inactive	United World Life Insurance Company	300532	Agent - Health	7/19/2006	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/9/2006	8/31/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/9/2006	8/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/26/2010	8/31/2011
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/18/1992	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/18/1992	3/31/1997
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	8/31/2011
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/22/2003	12/3/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/22/2003	12/3/2010
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	11/9/1995	11/17/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	11/9/1995	11/17/2000
Inactive	Wilco Life Insurance Company	300122	Agent - Life	7/27/1998	9/10/2003
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	9/30/2002	7/13/2011

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	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/24/1999	2/28/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/10/2005	8/31/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	8/31/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	8/31/2011
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Insurance One Inc.	399840	Agent - Life	4/8/1993	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	4/8/1993	5/31/2004
Inactive	Medlink Inc	400721	Agent - Life	11/23/1998	8/31/2011
Inactive	Medlink Inc	400721	Agent - Health	11/23/1998	8/31/2011