DEPARTMENT OF INSURANCE

Affiliations

Name	Perennial Insurance Group LLC	DOIID	398659	NAIC NPN	3476024

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	10/29/2013
Inactive	Resident	Agent	Casualty	8/15/2000	10/29/2013
Inactive	Resident	Agent	Life	9/30/1999	3/31/2015
Inactive	Resident	Agent	General Lines	11/6/1999	8/15/2000
Inactive	Resident	Agent	Health	9/30/1999	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	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2009	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/31/2009	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/31/2009	7/30/2012
Inactive	American Continental Insurance Company	643130	Agent - Health	7/24/2008	3/31/2015
Inactive	American Continental Insurance Company	643130	Agent - Life	7/24/2008	3/31/2015
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	12/26/2001
Inactive	American Economy Insurance Company	300315	Agent - General Lines	2/7/2000	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	12/26/2001
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/5/2006	1/23/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/5/2006	1/23/2015
Inactive	American General Life Insurance Company	301585	Agent - Health	5/21/2008	11/9/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	5/21/2008	11/9/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	6/19/2008	6/5/2009
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/19/2008	6/5/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/12/2009	3/31/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/12/2009	3/31/2015
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	12/26/2001
Inactive	American States Insurance Company	301230	Agent - General Lines	2/7/2000	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	12/26/2001
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	11/13/2008	2/17/2009
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	11/13/2008	2/17/2009
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/7/2008	3/31/2015
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/7/2008	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/7/2008	3/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/7/2008	3/31/2015
Inactive	Assurance Company of America	300432	Agent - Casualty	1/28/2004	4/22/2010
Inactive	Assurance Company of America	300432	Agent - Property	1/28/2004	4/22/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Health	1/20/2009	11/4/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/20/2009	11/4/2010
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/24/2008	3/31/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/23/2009	12/12/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/23/2009	12/12/2012
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/15/1999	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/15/1999	4/1/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	7/12/2000	11/1/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	7/12/2000	11/1/2007
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/29/2009	8/26/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/29/2009	8/26/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/30/2008	9/8/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/30/2008	9/8/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/30/2008	9/8/2011
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	9/28/2010	3/31/2015
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	9/28/2010	3/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2011
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	11/15/1999	10/29/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/15/1999	10/29/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	7/7/2011	1/5/2015
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/7/2011	1/5/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	12/26/2001
Inactive	First National Insurance Company of America	301690	Agent - General Lines	2/7/2000	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	12/26/2001
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	12/26/2001
Inactive	General Insurance Company of America	300261	Agent - General Lines	2/7/2000	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	12/26/2001
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/6/2010	10/4/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/6/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/31/2008	3/31/2015
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	10/31/2008	3/31/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/29/2010	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/29/2010	12/17/2012
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	1/28/2004	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	1/28/2004	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/21/2009	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/21/2009	12/13/2012
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	9/23/2009	12/12/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/23/2009	12/12/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/23/2009	12/12/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	10/9/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	11/6/1999	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	10/9/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	10/9/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	11/6/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	10/9/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	10/9/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	11/6/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	10/9/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	10/9/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	11/6/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	10/9/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	10/9/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	11/6/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	10/9/2003
Inactive	Health Resources Inc.	301210	Agent - Health	5/27/2008	12/31/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/30/2008	9/8/2011
Inactive	Humana Insurance Company	301104	Agent - Health	12/18/2007	9/8/2011
Inactive	Humana Insurance Company	301104	Agent - Life	12/18/2007	9/8/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/18/2007	9/8/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/18/2007	9/8/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/18/2007	9/8/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/18/2007	9/8/2011
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	11/15/1999	3/31/2015
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	11/15/1999	3/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/12/2008	9/8/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/12/2008	9/8/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/23/2008	4/16/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/23/2008	4/16/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	6/16/2008	12/7/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	6/16/2008	12/7/2010
Inactive	Maryland Casualty Company	301719	Agent - Casualty	1/28/2004	4/22/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	1/28/2004	4/22/2010
Inactive	Medico Insurance Company	301559	Agent - Health	11/19/2008	6/21/2012
Inactive	Medico Insurance Company	301559	Agent - Life	11/19/2008	6/21/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/24/2009	12/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/24/2009	12/18/2012
Inactive	Midland National Life Insurance Company	300923	Agent - Health	10/12/2010	3/31/2015
Inactive	Midland National Life Insurance Company	300923	Agent - Life	10/12/2010	12/20/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/5/2008	3/31/2015
Inactive	National Western Life Insurance Company	301515	Agent - Health	7/3/2002	2/28/2005
Inactive	National Western Life Insurance Company	301515	Agent - Life	7/3/2002	2/28/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/11/2012	3/31/2015
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	1/28/2004	4/22/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	1/28/2004	4/22/2010
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/15/2000	10/20/2009
Inactive	Omni Indemnity Company	301456	Agent - General Lines	3/9/2000	8/15/2000
Inactive	Omni Indemnity Company	301456	Agent - Property	8/15/2000	10/20/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/28/2009	3/8/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	4/28/2009	7/17/2012
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	12/28/2005
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	4/10/2000	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	12/28/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	9/18/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	4/10/2000	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	9/18/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	4/10/2000	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	12/28/2005
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/22/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/22/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/18/2010	3/31/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/18/2010	3/31/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Health	7/28/2008	2/8/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/28/2008	2/8/2012
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/27/2000	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/27/2000	9/20/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/5/2008	10/5/2012
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	10/23/2008	1/23/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	10/23/2008	1/23/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	12/26/2001
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	2/7/2000	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	12/26/2001
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	12/26/2001
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	5/18/2000	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	12/26/2001
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	8/5/2008	9/29/2012
Inactive	Standard Insurance Company	300185	Agent - Health	2/2/2011	3/31/2015
Inactive	Standard Insurance Company	300185	Agent - Life	2/2/2011	3/31/2015
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	5/14/2008	11/3/2009
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	5/14/2008	11/3/2009
Inactive	Time Insurance Company	300683	Agent - Health	6/18/2008	3/7/2012
Inactive	Time Insurance Company	300683	Agent - Life	6/18/2008	3/7/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	3/31/2015
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/3/2008	10/1/2008
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	10/29/2013
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	3/9/2000	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	10/29/2013
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	10/9/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	11/6/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	10/9/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/18/2010	3/31/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/18/2010	3/31/2015
Inactive	United World Life Insurance Company	300532	Agent - Health	12/5/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/3/2008	3/31/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/3/2008	3/31/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/13/2008	3/8/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/13/2008	5/19/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/13/2008	5/19/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/13/2008	3/8/2010
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	1/10/2011	3/31/2015
Inactive	West Coast Life Insurance Company	301607	Agent - Health	5/12/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	5/12/2008	11/16/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	5/10/2008	10/28/2010
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	5/10/2008	10/28/2010
Inactive	Wilco Life Insurance Company	300122	Agent - Life	5/1/2002	10/21/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bobo, Karri Lynn	697826	Agent - Health	11/1/2011	10/29/2013
Inactive	Bobo, Karri Lynn	697826	Agent - Life	6/18/2009	10/29/2013
Inactive	Cox, Gregory H	334374	Agent - Health	1/17/2011	10/29/2013
Inactive	Cox, Gregory H	334374	Agent - Life	1/17/2011	10/29/2013
Inactive	Eckdahl, David D	346698	Agent - Health	5/12/2008	10/29/2013
Inactive	Eckdahl, David D	346698	Agent - Life	5/12/2008	10/29/2013
Inactive	Klatt, Timothy Robert	617561	Agent - Health	6/2/2009	11/11/2009
Inactive	Klatt, Timothy Robert	617561	Agent - Life	6/2/2009	11/11/2009
Inactive	Newcom, Jeremy Joseph	665222	Agent - Health	6/30/2009	10/29/2013
Inactive	Payne, Misty Dawn	593431	Agent - Health	2/7/2008	10/29/2013
Inactive	Payne, Misty Dawn	593431	Agent - Life	2/7/2008	10/29/2013
Inactive	Roberts, Deborah D	382041	Agent - Health	4/18/2011	10/29/2013
Inactive	Roberts, Deborah D	382041	Agent - Life	4/18/2011	10/29/2013
Inactive	Schlachter Conner, Kelly Anne	372011	Agent - Health	2/7/2008	10/29/2013
Inactive	Schlachter Conner, Kelly Anne	372011	Agent - Life	2/7/2008	10/29/2013
Inactive	Stines, David Whayne	311480	Agent - Life	2/7/2008	5/12/2008
Inactive	Taylor, William Paul	335623	Agent - Casualty	1/13/2005	10/29/2013
Inactive	Taylor, William Paul	335623	Agent - Property	1/13/2005	10/29/2013
Inactive	Wiggins, Stephen Blake	698837	Agent - Casualty	8/26/2009	10/5/2009
Denied	Wiggins, Stephen Blake	698837	Agent - Life
Inactive	Wiggins, Stephen Blake	698837	Agent - Property	8/26/2009	10/5/2009
Inactive	Worth, Jason	359977	Agent - Casualty	1/13/2005	10/29/2013
Inactive	Worth, Jason	359977	Agent - Health	9/30/1999	3/31/2015
Inactive	Worth, Jason	359977	Agent - Life	9/30/1999	3/31/2015
Inactive	Worth, Jason	359977	Agent - Property	1/13/2005	10/29/2013
Inactive	Worth, John Lee	312381	Agent - Casualty	8/15/2000	10/29/2013
Inactive	Worth, John Lee	312381	Agent - General Lines	11/6/1999	8/15/2000
Inactive	Worth, John Lee	312381	Agent - Health	9/30/1999	10/29/2013
Inactive	Worth, John Lee	312381	Agent - Life	9/30/1999	10/29/2013
Inactive	Worth, John Lee	312381	Agent - Property	8/15/2000	10/29/2013
Inactive	Worth, Johnny Lee	392098	Agent - Health	2/7/2008	5/31/2011
Inactive	Worth, Johnny Lee	392098	Agent - Life	2/7/2008	5/31/2011