DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Implementation Services Inc.	DOIID	398930	NAIC NPN	7221276

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/21/1993	6/11/1999
Inactive	Resident	Agent	Life	6/21/1993	6/11/1999
* 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	Union Bankers Insurance Company	301769	Agent - Health	6/21/1993	6/11/1999
Inactive	Union Bankers Insurance Company	301769	Agent - Life	6/21/1993	6/11/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carr, Richard Igo	390021	Agent - Health	6/21/1993	6/11/1999
Inactive	Newman, Larry Douglas	302701	Agent - Health	6/21/1993	6/11/1999