DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carl Ray Courtney Inc.	DOIID	398962	NAIC NPN	7221305

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/27/1995	10/1/2014
Inactive	Resident	Agent	Life	11/27/1995	10/1/2014
* 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	AF&L Insurance Company	301582	Agent - Health	7/20/2000	11/1/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	4/27/2007
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	4/27/2007
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	10/1/2010
Inactive	Medico Insurance Company	301559	Agent - Health	8/21/2000	6/7/2002
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	3/12/1996	3/31/1998
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	12/14/1995	12/29/1997
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	12/14/1995	12/29/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	4/26/1996	8/20/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	4/26/1996	8/20/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	11/27/1995	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	11/27/1995	11/19/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	3/22/2000	6/25/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	3/22/2000	6/25/2003
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/27/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/27/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/16/2010
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/16/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Courtney, Carl R	356757	Agent - Health	11/27/1995	8/1/2014
Inactive	Courtney, Carl R	356757	Agent - Life	11/27/1995	8/1/2014