DEPARTMENT OF INSURANCE

Affiliations

Name	Rul-lan II, Carlos Damian	DOIID	391498	NAIC NPN	1490480

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/12/2002		3/31/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	9/12/2002		3/31/2025
Active	Non Resident	Agent	Casualty	2/13/2009		3/31/2025
Active	Non Resident	Agent	Property	2/20/2009		3/31/2025
Active	Non Resident	Agent	Life	9/12/2002		3/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	10/11/1984	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AF&L Insurance Company	301582	Agent - Health	2/17/2004	12/1/2006
Inactive	AIG Assurance Company	300897	Agent - Casualty	4/22/2009	7/8/2010
Inactive	AIG Assurance Company	300897	Agent - Property	4/22/2009	7/8/2010
Inactive	Aetna Health Inc.	300694	Agent - Health	11/12/2002	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	6/28/2000	3/1/2001
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/23/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/12/2002	9/23/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/12/2002	9/23/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/9/2002	1/22/2015
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/13/2021
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	4/13/2021
Inactive	American Economy Insurance Company	300315	Agent - Casualty	9/9/2009	7/23/2010
Inactive	American Economy Insurance Company	300315	Agent - Property	9/9/2009	7/23/2010
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	5/13/2015	11/18/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/26/2002	10/8/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/26/2002	10/8/2018
Inactive	American Fidelity Assurance Company	301004	Agent - Health	5/28/2002	7/1/2002
Inactive	American Fidelity Assurance Company	301004	Agent - Life	5/28/2002	7/1/2002
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	9/9/2009	7/23/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	9/9/2009	7/23/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	1/29/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	1/29/2018
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	9/10/2004	3/24/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	6/2/2011	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	6/2/2011	12/31/2012
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	4/14/2000	7/1/2002
Inactive	American National Insurance Company	301861	Agent - Health	10/22/2003	4/20/2010
Inactive	American National Insurance Company	301861	Agent - Life	6/5/2003	4/20/2010
Inactive	American States Insurance Company	301230	Agent - Casualty	9/9/2009	7/23/2010
Inactive	American States Insurance Company	301230	Agent - Property	9/9/2009	7/23/2010
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	1/31/1994	7/1/2002
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	1/31/1994	7/1/2002
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	11/7/2011	11/10/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/12/1988	3/1/2001
Active	Anthem Life Insurance Company	301209	Agent - Health	10/14/2002
Active	Anthem Life Insurance Company	301209	Agent - Life	10/14/2002
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	2/15/2007	8/10/2015
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/15/2007	8/10/2015
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Variable Life and Variable Annuities	2/15/2007	8/10/2015
Inactive	Athene Annuity and Life Company	301893	Agent - Life	9/23/2008	12/31/2015
Inactive	Augustar Life Insurance Company	301816	Agent - Life	11/27/2018	12/9/2020
Inactive	Aviva Life Insurance Company	301615	Agent - Health	10/4/2002	11/1/2005
Inactive	Aviva Life Insurance Company	301615	Agent - Life	10/4/2002	11/1/2005
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/14/2005	8/9/2008
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/18/2002	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/18/2002	9/16/2013
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/7/2003	12/15/2004
Inactive	Canada Life Assurance Company	301192	Agent - Health	6/8/2001	7/1/2002
Inactive	Canada Life Assurance Company	301192	Agent - Life	6/8/2001	7/1/2002
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/11/1994	7/1/2002
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/11/1994	7/1/2002
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	10/12/1992	7/1/2002
Active	Citizens Security Life Insurance Company	301257	Agent - Life	9/24/2002
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/26/2005	2/21/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/26/2005	2/21/2019
Inactive	Columbus Life Insurance Company	301227	Agent - Life	4/28/2013	6/10/2013
Inactive	Combined Insurance Company of America	301472	Agent - Health	8/28/1992	2/20/2001
Inactive	Combined Insurance Company of America	301472	Agent - Life	8/28/1992	2/20/2001
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Life	6/29/2005	5/14/2013
Inactive	Conseco Health Insurance Company	301725	Agent - Health	10/26/2007	11/12/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Life	10/26/2007	11/12/2009
Inactive	Conseco Insurance Company	301202	Agent - Health	10/26/2007	10/28/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	10/26/2007	10/28/2009
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	11/17/1994	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	11/17/1994	3/9/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/9/2009	7/23/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/9/2009	7/23/2010
Inactive	Continental Casualty Company	301019	Agent - Health	5/25/1999	7/1/2002
Inactive	Delaware Life Insurance Company	301256	Agent - Health	11/5/2015	11/18/2022
Inactive	Delaware Life Insurance Company	301256	Agent - Life	11/5/2015	11/18/2022
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	12/31/2003	12/11/2006
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/7/2019	12/19/2019
Inactive	Emphesys Insurance Company	300598	Agent - Health	2/23/1995	3/31/1999
Inactive	Emphesys Insurance Company	300598	Agent - Life	2/23/1995	3/31/1999
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	3/20/2006	12/31/2008
Inactive	FMH Ag Risk Insurance Company	300425	Agent - Health	3/25/1994	3/31/2002
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/11/2008	3/7/2012
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	2/6/2012	7/27/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	12/19/1991	3/31/1997
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	12/19/1991	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/27/1994	7/1/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/27/1994	7/1/2002
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/9/2009	7/23/2010
Inactive	First National Insurance Company of America	301690	Agent - Property	9/9/2009	7/23/2010
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/8/2004	12/12/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/8/2004	12/12/2008
Inactive	General American Life Insurance Company	300280	Agent - Health	8/20/2001	7/1/2002
Inactive	General American Life Insurance Company	300280	Agent - Life	8/20/2001	7/1/2002
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/9/2009	7/23/2010
Inactive	General Insurance Company of America	300261	Agent - Property	9/9/2009	7/23/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/4/2006	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/1/2002	7/1/2002
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	2/12/2008	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	2/12/2008	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/8/2005	2/22/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/8/2005	2/22/2008
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	10/13/1992	3/31/1997
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	10/13/1992	3/31/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/18/2002	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/18/2002	10/5/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2013	12/5/2014
Active	Humana Health Plan, Inc.	300142	Agent - Health	6/7/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/11/1984	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/7/2019	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	6/7/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/19/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/25/2019	2/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/4/2010	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/4/2010	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/27/2003	12/23/2004
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/27/2003	12/23/2004
Inactive	Independent Order of Foresters	300743	Agent - Life	1/13/2011	12/30/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/9/2009	7/23/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	9/9/2009	7/23/2010
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	8/17/2007	10/1/2008
Inactive	Inter-State Assurance Company	301556	Agent - Life	4/16/1998	4/26/2002
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/4/2009	7/30/2018
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	11/9/2009	7/30/2018
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	3/1/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	3/1/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	9/9/2004	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	9/9/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	9/9/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	9/9/2004	4/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	12/18/2000	7/1/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/18/2000	7/1/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/21/2002	7/19/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/19/2003	7/19/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	5/19/2003	7/19/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/8/2011	4/23/2014
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	11/8/2011	4/23/2014
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	5/19/2003	12/12/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	5/19/2003	12/20/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/29/2005	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/30/2013	12/5/2014
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	12/29/2006	5/26/2009
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	12/29/2006	5/26/2009
Inactive	Kansas City Life Insurance Company	301444	Agent - Variable Life and Variable Annuities	12/29/2006	12/14/2017
Inactive	Keyport Life Insurance Company	300319	Agent - Life	10/4/2002	12/31/2003
Inactive	Keyport Life Insurance Company	300319	Agent - Variable Life and Variable Annuities	10/4/2002	12/31/2003
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	9/8/2011	12/26/2012
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/9/1999	7/1/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/9/1999	7/1/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	8/6/2003	12/22/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	8/6/2003	12/22/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	8/6/2003	12/22/2010
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/22/2007
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	9/1/1993	3/31/1997
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	9/1/1993	3/31/1997
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	2/19/2013	6/25/2013
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	5/19/2003	10/26/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	5/19/2003	12/29/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/13/2003	10/26/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/13/2003	10/26/2007
Inactive	Midland National Life Insurance Company	300923	Agent - Health	5/8/2012	5/24/2016
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/8/2012	5/24/2016
Inactive	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	5/8/2012	5/24/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/19/2004	12/20/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	10/6/1997	12/21/1999
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	10/6/1997	12/21/1999
Inactive	National Financial Insurance Company	300555	Agent - Health	4/29/1996	10/25/1996
Inactive	National Financial Insurance Company	300555	Agent - Life	4/29/1996	10/25/1996
Inactive	National Western Life Insurance Company	301515	Agent - Life	4/30/2009	12/28/2010
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/14/2019
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/14/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/9/2009	7/23/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/9/2009	7/23/2010
Inactive	New England Life Insurance Company	300343	Agent - Health	5/31/2001	7/1/2002
Inactive	New England Life Insurance Company	300343	Agent - Life	5/31/2001	7/1/2002
Inactive	New England Life Insurance Company	300343	Agent - Variable Life and Variable Annuities	3/13/2002	7/1/2002
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	9/16/2002	9/15/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/9/2009	7/23/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/9/2009	7/23/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/9/2009	7/23/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/9/2009	7/23/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	12/20/2005	7/17/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	12/20/2005	7/17/2012
Inactive	Pacific Life Insurance Company	301848	Agent - Health	2/29/1996	7/1/2002
Inactive	Pacific Life Insurance Company	301848	Agent - Life	4/18/2005	12/29/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	4/18/2005	12/29/2006
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/9/2009	7/23/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/9/2009	7/23/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/9/2009	7/23/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	9/9/2009	7/23/2010
Active	Penn Insurance and Annuity Company	300712	Agent - Health	8/16/2007
Active	Penn Insurance and Annuity Company	300712	Agent - Life	8/16/2007
Active	Penn Insurance and Annuity Company	300712	Agent - Variable Life and Variable Annuities	8/16/2007
Active	Penn Mutual Life Insurance Company	301394	Agent - Health	8/16/2007
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	8/16/2007
Active	Penn Mutual Life Insurance Company	301394	Agent - Variable Life and Variable Annuities	8/16/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	4/7/1998	7/1/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	4/7/1998	7/1/2002
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	11/10/1992	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	11/10/1992	3/31/1997
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	12/26/2002	5/23/2003
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	4/22/2009	7/8/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	4/22/2009	7/8/2010
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/8/2003	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/8/2003	11/25/2009
Active	Protective Life Insurance Company	300638	Agent - Health	6/3/2003
Active	Protective Life Insurance Company	300638	Agent - Life	6/3/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/5/1994	7/1/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/5/1994	7/1/2002
Inactive	Pruco Life Insurance Company	300954	Agent - Health	12/13/2006	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/13/2006	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Health	1/4/2007	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	1/4/2007	12/23/2014
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/16/1995	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/16/1995	7/1/2002
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/26/2002	10/6/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/26/2002	10/6/2012
Inactive	Reserve National Insurance Company	301073	Agent - Health	4/17/2014	6/25/2015
Inactive	Reserve National Insurance Company	301073	Agent - Life	4/17/2014	6/25/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/9/2009	7/23/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/9/2009	7/23/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/9/2009	7/23/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/9/2009	7/23/2010
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	11/18/2002	8/26/2003
Active	Security Benefit Life Insurance Company	300583	Agent - Life	4/17/2014
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	9/14/2004	9/26/2008
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	9/14/2004	9/26/2008
Inactive	Security Life of Denver Insurance Company	300648	Agent - Variable Life and Variable Annuities	10/1/2004	12/4/2008
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	5/14/2001	7/1/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/21/2002	10/1/2003
Inactive	Southland Life Insurance Company	301175	Agent - Health	9/30/2002	10/1/2004
Inactive	Southland Life Insurance Company	301175	Agent - Life	9/30/2002	10/1/2004
Inactive	Southland Life Insurance Company	301175	Agent - Variable Life and Variable Annuities	9/30/2002	10/1/2004
Inactive	Standard Insurance Company	300185	Agent - Health	1/13/2005	12/31/2013
Inactive	Standard Insurance Company	300185	Agent - Life	1/13/2005	12/31/2013
Inactive	Standard Insurance Company	300185	Agent - Variable Life and Variable Annuities	1/13/2005	12/31/2013
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Health	5/16/2008	3/31/2009
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Life	5/16/2008	3/31/2009
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	9/12/2002	7/12/2012
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	9/12/2002	7/12/2012
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/22/2009	12/22/2023
Active	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	3/4/2003
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	3/4/2003	12/22/2023
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	9/7/2011	11/23/2012
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	9/7/2011	11/23/2012
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	9/7/2011	11/23/2012
Inactive	Time Insurance Company	300683	Agent - Health	5/6/2003	2/7/2005
Inactive	Time Insurance Company	300683	Agent - Life	5/6/2003	2/7/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/16/2014	6/27/2017
Active	Transamerica Life Insurance Company	300571	Agent - Life	5/17/2012
Active	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	5/17/2012
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	6/5/2003	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/19/2000	7/1/2002
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/19/2000	7/1/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/16/2014	3/4/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/16/2014	3/4/2015
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	10/6/2006	1/24/2013
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	10/6/2006	1/24/2013
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	8/25/1998	7/1/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	6/22/2004	8/13/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/23/1998	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/23/1998	7/1/2002
Inactive	USG Annuity & Life Company	300457	Agent - Life	5/14/2001	7/1/2002
Inactive	Union Bankers Insurance Company	301769	Agent - Health	4/1/1997	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	4/1/1997	6/12/1998
Inactive	Union Central Life Insurance Company	300307	Agent - Health	5/3/2005	12/29/2008
Inactive	Union Central Life Insurance Company	300307	Agent - Life	5/3/2005	12/29/2008
Inactive	Union Security Insurance Company	301844	Agent - Health	10/18/2002	11/25/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	10/18/2002	11/25/2002
Inactive	United American Insurance Company	300910	Agent - Health	4/6/1994	12/31/1998
Inactive	United American Insurance Company	300910	Agent - Life	4/6/1994	12/31/1998
Inactive	United Home Life Insurance Company	300421	Agent - Life	4/10/2008	10/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/19/2004	12/20/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/19/2004	12/20/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/3/2002	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/3/2002	11/30/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	7/2/2004	6/1/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	7/2/2004	6/1/2007
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/9/2002	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	5/9/2000	3/1/2001
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	6/23/2009	10/19/2012
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	6/23/2009	10/19/2012
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	8/26/2004	6/30/2007
Inactive	West American Insurance Company	301112	Agent - Casualty	9/9/2009	7/23/2010
Inactive	West American Insurance Company	301112	Agent - Property	9/9/2009	7/23/2010
Inactive	West Coast Life Insurance Company	301607	Agent - Health	12/26/2006	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/26/2006	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Variable Life and Variable Annuities	12/26/2006	12/13/2011
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/2/2001	7/1/2002
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	11/11/2002	10/22/2008
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	11/11/2002	10/22/2008
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Variable Life and Variable Annuities	11/11/2002	10/22/2008
Inactive	Wilco Life Insurance Company	300122	Agent - Health	11/1/1995	7/24/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Life	11/1/1995	7/24/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	7/1/2002
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/18/2002	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/18/2002	6/23/2008
Active	Dental Choice Agency Inc.	398085	Agent - Health	6/6/2011
Active	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008
Inactive	Futurity First Insurance Group LLC	676947	Agent - Life	2/26/2019	11/18/2019
Inactive	Futurity First Insurance Group LLC	676947	Agent - Health	2/26/2019	11/18/2019
Denied	Futurity First Insurance Group LLC	676947	Agent - Casualty
Denied	Futurity First Insurance Group LLC	676947	Agent - Property
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Hornor Townsend & Kent LLC	400531	Agent - Life	7/29/1999	7/1/2002
Inactive	Hornor Townsend & Kent LLC	400531	Agent - Health	7/29/1999	7/1/2002
Inactive	Insurance Store, LLC (The)	573356	Agent - Casualty	5/11/2009	3/29/2010
Inactive	Insurance Store, LLC (The)	573356	Agent - Property	5/11/2009	3/29/2010
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014