DEPARTMENT OF INSURANCE
Affiliations
NamePace IV, Julian HDOIID393137NAIC NPN7210037
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization2/19/19923/1/2001 
InactiveResidentAgentHealth4/21/19937/1/2002 
InactiveResidentAgentLife4/21/19937/1/2002 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20014/1/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization2/19/19923/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health4/21/19937/1/2002
InactiveAnthem Life Insurance Company301209Agent - Life4/21/19937/1/2002
InactiveBanner Life Insurance Company301696Agent - Health9/12/19967/1/2002
InactiveBanner Life Insurance Company301696Agent - Life9/12/19967/1/2002
InactiveChase Insurance Life and Annuity Company300518Agent - Life7/31/19967/1/2002
InactiveConseco Medical Insurance Company300719Agent - Health12/30/199612/31/1998
InactiveConseco Medical Insurance Company300719Agent - Life12/30/199612/31/1998
InactiveFirst Colony Life Insurance Company301179Agent - Life6/17/19967/1/2002
InactiveGolden Rule Insurance Company301943Agent - Health8/8/19953/31/1997
InactiveGolden Rule Insurance Company301943Agent - Life8/8/19953/31/1997
InactiveLincoln Benefit Life Company301110Agent - Life3/13/19977/1/2002
InactiveMidland Life Insurance Company (The)300310Agent - Health2/19/19973/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life2/19/19973/31/2001
InactiveNational Guardian Life Insurance Company300596Agent - Health12/7/19943/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life12/7/19943/31/1999
InactiveReassure America Life Insurance Company301902Agent - Health2/21/19977/1/2002
InactiveReassure America Life Insurance Company301902Agent - Life2/21/19977/1/2002
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health10/2/19967/1/2002
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life10/2/19967/1/2002
InactiveUnion Security Insurance Company301844Agent - Health5/27/199812/31/1998
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health8/18/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life8/18/19953/31/1997
InactiveWashington National Insurance Company300587Agent - Health3/7/19953/31/1997
InactiveWashington National Insurance Company300587Agent - Life3/7/19953/31/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia Senior of The Southeast Inc.401297Agent - Life4/1/19947/1/2002
InactiveAcordia Senior of The Southeast Inc.401297Agent - Health4/1/19947/1/2002
InactiveArison Insurance Services, Inc.401001Agent - Life6/14/19937/1/2002
InactiveArison Insurance Services, Inc.401001Agent - Health6/14/19937/1/2002
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997

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