DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stivers Jr, Edward Clifford	DOIID	394348	NAIC NPN	7210456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/24/1978	11/30/2003
Inactive	Resident	Agent	Health Maintenance Organization	3/7/1988	3/1/2001
Inactive	Resident	Agent	Health	3/24/1978	11/30/2003
Inactive	Resident	Agent	General Lines	11/29/1961	3/31/1998
* 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 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	3/7/1988	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/16/2000	12/11/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/16/2000	12/11/2002
Inactive	Life Insurance Company of North America	300711	Agent - Health	3/24/1978	3/31/1997
Inactive	Life Insurance Company of North America	300711	Agent - Life	3/24/1978	3/31/1997
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	6/26/1997	11/30/2003
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	6/26/1997	11/30/2003
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/6/1992	3/31/1997
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	11/29/1961	3/31/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/2/1994	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/2/1994	10/24/2003

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	5/26/1994	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	5/26/1994	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/30/1999	11/30/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/30/1999	11/30/2003