DEPARTMENT OF INSURANCE

Affiliations

Name	Racine Jr, William Edward	DOIID	391907	NAIC NPN	291893

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	2/28/1992	11/14/2011
Inactive	Non Resident	Agent	Health	2/28/1992	11/14/2011
* 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	8/25/2003	12/28/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/25/2003	12/28/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/18/2011	11/14/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/18/2011	11/14/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/30/2003	11/14/2011
Inactive	Humana Insurance Company	301104	Agent - Health	6/21/2007	11/14/2011
Inactive	Humana Insurance Company	301104	Agent - Life	6/21/2007	11/14/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/18/2011	11/14/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/18/2011	11/14/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/18/2011	11/14/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/18/2011	11/14/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	11/14/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	11/14/2011
Inactive	Life Insurance Company of North America	300711	Agent - Life	1/8/2003	11/14/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/7/2003	11/14/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/7/2003	11/14/2011
Inactive	Nassau Life Insurance Company	301406	Agent - Health	2/28/1992	4/23/2003
Inactive	Nassau Life Insurance Company	301406	Agent - Life	2/28/1992	4/23/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/13/2008	11/14/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/13/2008	11/14/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/13/2008	11/14/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/13/2008	11/14/2011

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	8/25/2003	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/25/2003	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008	12/30/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008	12/30/2009