DEPARTMENT OF INSURANCE

Affiliations

Name	Liberty Insurance Agency Inc.	DOIID	398620	NAIC NPN	7221054

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/28/1995	3/31/2015
Inactive	Resident	Agent	Life	4/28/1995	3/31/2015
* 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	AF&L Insurance Company	301582	Agent - Health	7/20/2000	11/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/1/2002	3/31/2015
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/1/2002	3/31/2015
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	5/19/2009	11/11/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/30/1998	3/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/30/1998	3/31/2015
Inactive	Banner Life Insurance Company	301696	Agent - Health	4/28/1995	3/31/1997
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/28/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/26/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/26/1996	3/31/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	4/25/2001	8/9/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Life	4/25/2001	8/9/2004
Inactive	Delaware Life Insurance Company	301256	Agent - Life	12/31/2003	3/31/2015
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	8/2/1995	7/26/2006
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/2/1995	7/26/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/22/1999	12/22/2003
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/22/1999	12/22/2003
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/21/2010	8/15/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/21/2010	8/15/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/1/2006	12/12/2009
Inactive	Humana Insurance Company	301104	Agent - Health	4/1/2006	12/12/2009
Inactive	Humana Insurance Company	301104	Agent - Life	4/1/2006	12/12/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/1/2006	12/12/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/1/2006	12/12/2009
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	11/26/2003	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	11/26/2003	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	11/26/2003	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	11/26/2003	4/2/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/15/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/15/2008	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	3/31/2015
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	3/31/2015
Inactive	Keyport Life Insurance Company	300319	Agent - Life	8/7/2003	12/31/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	12/22/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	12/22/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/12/1996	12/26/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	7/10/2013	9/25/2013
Inactive	National Western Life Insurance Company	301515	Agent - Health	1/20/2003	1/17/2005
Inactive	National Western Life Insurance Company	301515	Agent - Life	6/1/2010	8/19/2013
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	8/11/2009	3/31/2015
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/11/2009	3/31/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	2/9/2006	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	2/9/2006	7/17/2012
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	12/9/1999	8/29/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	12/9/1999	8/29/2005
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	8/9/1995	10/14/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	8/9/1995	10/14/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	4/19/2007	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	4/19/2007	3/31/2009
Inactive	Standard Insurance Company	300185	Agent - Health	2/25/2009	12/31/2013
Inactive	Standard Insurance Company	300185	Agent - Life	2/25/2009	12/31/2013
Inactive	Trinity Life Insurance Company	552459	Agent - Life	9/16/2002	12/10/2003
Inactive	USG Annuity & Life Company	300457	Agent - Life	11/17/2003	1/1/2004
Inactive	Union Bankers Insurance Company	301769	Agent - Health	5/19/1997	6/11/1999
Inactive	Union Bankers Insurance Company	301769	Agent - Life	5/19/1997	6/11/1999
Inactive	United World Life Insurance Company	300532	Agent - Health	8/17/2004	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/19/2004	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/19/2004	12/26/2012
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	1/27/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/18/1998	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/18/1998	12/31/2001
Inactive	Bartley, Beverly Ann	307065	Agent - Health	8/14/1995	12/31/1999
Inactive	Bartley, Beverly Ann	307065	Agent - Life	8/14/1995	12/31/1999
Inactive	Bartley, Rondal Thomas	337434	Agent - Health	7/10/1995	3/31/2015
Inactive	Bartley, Rondal Thomas	337434	Agent - Life	7/10/1995	3/31/2015
Inactive	Bartley, William Ralph	311926	Agent - Health	8/14/1995	5/10/2002
Inactive	Bartley, William Ralph	311926	Agent - Life	8/14/1995	1/16/2002
Inactive	Ciccarello, Vincent	393403	Agent - Life	10/27/1995	7/1/1996
Inactive	Click, Richard A	312401	Agent - Health	7/10/1995	2/17/2003
Inactive	Click, Richard A	312401	Agent - Life	7/10/1995	2/17/2003
Inactive	Green, George	392218	Agent - Health	10/23/1995	1/12/1998
Inactive	Green, George	392218	Agent - Life	10/23/1995	1/12/1998
Inactive	Grooms, Ronnie David	373526	Agent - Health	7/10/1995	2/17/2003
Inactive	Grooms, Ronnie David	373526	Agent - Life	7/10/1995	2/17/2003
Inactive	Hadley, Gloria J	509405	Agent - Health	10/6/2000	7/1/2002
Inactive	Lambert, Cheryl A	387930	Agent - Health	7/10/1995	3/3/1997
Inactive	Lambert, Cheryl A	387930	Agent - Life	7/10/1995	3/3/1997
Inactive	Lorenz, Lynda S	344907	Agent - Health	7/10/1995	3/2/2000
Inactive	Lorenz, Lynda S	344907	Agent - Life	7/10/1995	3/2/2000
Inactive	Smith, Rodney R	340120	Agent - Health	1/5/1999	12/1/2000
Inactive	Whitaker, Brian Howard	368951	Agent - Health	10/26/1998	12/1/2000
Inactive	Whitaker, Brian Howard	368951	Agent - Life	10/26/1998	12/1/2000
Inactive	Whitaker, Diane Frances	352072	Agent - Health	4/28/1995	3/31/2015
Inactive	Whitaker, Diane Frances	352072	Agent - Life	4/28/1995	3/31/2015
Inactive	Whitaker, Lyndell Howard	350175	Agent - Health	4/28/1995	8/26/2013
Inactive	Whitaker, Lyndell Howard	350175	Agent - Life	4/28/1995	8/26/2013