DEPARTMENT OF INSURANCE

Affiliations

Name	Ins Shoppe Inc	DOIID	398317	NAIC NPN	3208845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/6/2009	3/14/2014
Inactive	Non Resident	Agent	Life	4/6/2009	3/14/2014
* 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	12/21/2001	3/24/2009
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2001	3/24/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/19/2000	3/24/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/19/2000	3/24/2009
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/18/2002	3/24/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/17/2003	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/17/2003	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	3/24/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	3/24/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	8/13/2009	3/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	8/13/2009	3/14/2014
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	5/20/1999	3/24/2009
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	5/20/1999	3/24/2009
Inactive	Omaha Insurance Company	751908	Agent - Health	9/17/2012	7/22/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	6/27/2011	12/13/2013
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	2/3/2005	12/3/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	2/3/2005	12/3/2007
Inactive	United World Life Insurance Company	300532	Agent - Health	8/30/2006	3/24/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/11/2008	3/24/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/11/2008	3/24/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/27/2011	12/13/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/27/2011	12/13/2013
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/11/2005	3/24/2009
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/11/2005	3/24/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Furbee, Scott E	585218	Agent - Health	7/27/2005	3/24/2009
Inactive	Liles, Terry G	318765	Agent - Health	11/9/2005	3/24/2009
Inactive	Liles, Terry G	318765	Agent - Life	11/9/2005	3/24/2009
Inactive	Proffitt, Richard G	384659	Agent - Health	10/28/2005	3/2/2007
Inactive	Proffitt, Richard G	384659	Agent - Life	10/28/2005	3/2/2007
Inactive	Proffitt, Richie G	321482	Agent - Health	10/28/2005	3/2/2007
Inactive	Proffitt, Richie G	321482	Agent - Life	10/28/2005	3/2/2007
Inactive	Schwitz, Steven P	325349	Agent - Health	7/27/2005	3/24/2009
Inactive	Simon, Lynn A	359399	Agent - Health	4/6/2009	3/14/2014
Inactive	Simon, Lynn A	359399	Agent - Life	4/6/2009	3/14/2014

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	8/14/2000	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/14/2000	12/31/2001