DEPARTMENT OF INSURANCE

Affiliations

Name	CDR Group Inc.	DOIID	398991	NAIC NPN	7221332

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	1/27/1999	3/1/2001
Inactive	Resident	Agent	Health	10/6/2008	3/31/2015
Inactive	Resident	Agent	Life	10/6/2008	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.	300694	Agent - Health	4/4/2001	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	3/1/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/4/2001	3/1/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/4/2001	3/1/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/7/1999	3/1/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/7/1999	3/1/2008
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/23/1999	10/14/2003
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	3/1/2008
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	3/1/2008
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	6/11/1999	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	6/11/1999	4/1/2007
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/7/1999	10/27/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/7/1999	10/27/2006
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	3/5/2011
Inactive	Dental Care Plus Inc.	301495	Agent - Health	1/5/2009	3/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/5/2011
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	3/5/1999	4/10/2003
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	3/5/1999	4/10/2003
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	6/11/1999	3/1/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	6/11/1999	3/1/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	2/11/2000	3/1/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	2/11/2000	3/1/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/7/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/7/2010	10/4/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/27/2005	3/1/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/27/2005	3/1/2008
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	5/19/1999	3/1/2008
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/19/1999	3/1/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/1/2009	3/5/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	1/27/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	2/1/2009	3/5/2011
Inactive	Humana Insurance Company	301104	Agent - Life	2/1/2009	3/5/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/1/2009	3/5/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/1/2009	3/5/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/1/2009	3/5/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/1/2009	3/5/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/13/2000	3/1/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/13/2000	3/1/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/1/2009	3/5/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/1/2009	3/5/2011
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	3/23/1999	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	3/23/1999	7/31/2001
Inactive	Principal Life Insurance Company	300129	Agent - Health	11/3/2000	3/1/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	11/3/2000	3/1/2008
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	3/1/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	3/1/2008
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	6/25/1999	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	6/25/1999	8/28/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Life	6/25/1999	8/28/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	1/9/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	1/9/2006
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	1/21/2015	3/31/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	1/21/2015	3/31/2015
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	2/7/2000	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	2/7/2000	10/1/2003
Inactive	Transamerica Assurance Company	300893	Agent - Health	12/4/2000	8/26/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	12/4/2000	8/26/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	3/1/2008
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	12/13/2000	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/13/2000	7/16/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/13/2000	7/16/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/8/1999	12/2/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/8/1999	12/2/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	6/15/1999	3/1/2008
Inactive	Union Security Insurance Company	301844	Agent - Life	6/15/1999	3/1/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/18/1999	3/1/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/18/1999	3/1/2004
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	2/4/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	4/20/1999	3/1/2001
Inactive		300277	Agent - Health	2/9/2000	1/1/2007
Inactive		300277	Agent - Life	2/9/2000	1/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/22/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/22/1999	12/31/2001
Inactive	Claxton, James Robert	393661	Agent - Health	10/6/2008	3/31/2015
Inactive	Claxton, James Robert	393661	Agent - Life	10/6/2008	3/31/2015
Inactive	Dean, Carolyn Joan	375320	Agent - Health	1/27/1999	2/14/2003
Inactive	Dean, Carolyn Joan	375320	Agent - Life	1/27/1999	2/14/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	11/30/1999	3/1/2001
Inactive	Rengering, Kevin D	328419	Agent - Health	3/23/1999	2/14/2003
Inactive	Rengering, Kevin D	328419	Agent - Life	3/23/1999	2/14/2003
Inactive	Spraggins, Scott B	338132	Agent - Health	9/5/2006	9/5/2006
Inactive	Spraggins, Scott B	338132	Agent - Life	9/5/2006	9/5/2006