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DEPARTMENT OF INSURANCE
Affiliations
Name
Frank Bradshaw Co
DOIID
399179
NAIC NPN
2110457
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health Maintenance Organization
6/14/1993
3/1/2001
Inactive
Resident
Agent
Life
10/31/1989
7/14/2006
Inactive
Resident
Agent
Health
5/31/2001
7/14/2006
Inactive
Resident
Agent
Prepaid Dental Plan
10/26/1998
3/1/2001
* 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
6/20/1997
1/8/2001
Inactive
Ability Insurance Company
301013
Agent - Health
11/30/1990
7/17/2000
Inactive
Ability Insurance Company
301013
Agent - Life
11/30/1990
7/17/2000
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
5/31/2001
7/14/2006
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
6/14/1993
3/1/2001
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
12/21/2001
7/14/2006
Inactive
Anthem Life Insurance Company
301209
Agent - Health
5/31/2001
7/14/2006
Inactive
Anthem Life Insurance Company
301209
Agent - Life
2/7/2000
7/14/2006
Inactive
Bankers Life and Casualty Company
300701
Agent - Health
7/11/1995
3/31/1997
Inactive
Bankers Life and Casualty Company
300701
Agent - Life
7/11/1995
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
8/5/2002
7/14/2006
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
8/5/2002
7/14/2006
Inactive
CompDent Corporation
301387
Agent - Health
5/31/2001
12/23/2004
Inactive
CompDent Corporation
301387
Agent - Prepaid Dental Plan
10/26/1998
3/1/2001
Inactive
Conseco Insurance Company
301202
Agent - Health
5/31/2001
7/14/2006
Inactive
Conseco Insurance Company
301202
Agent - Life
11/30/1993
10/3/2003
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
11/12/1996
12/31/2000
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
11/12/1996
12/31/2000
Inactive
Continental Casualty Company
301019
Agent - Health
5/31/2001
12/28/2004
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
2/26/1992
4/15/1996
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
2/26/1992
4/15/1996
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Health
10/29/1996
10/18/1999
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
10/29/1996
10/18/1999
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
8/5/2002
7/14/2006
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
8/5/2002
7/14/2006
Inactive
Freedom Life Insurance Company of America
300074
Agent - Health
8/29/1994
3/31/1997
Inactive
Freedom Life Insurance Company of America
300074
Agent - Life
8/29/1994
3/31/1997
Inactive
Genworth Life Insurance Company
300623
Agent - Health
10/31/1989
12/22/2003
Inactive
Genworth Life Insurance Company
300623
Agent - Life
10/31/1989
12/22/2003
Inactive
Golden Rule Insurance Company
301943
Agent - Health
9/6/1995
3/31/1997
Inactive
Golden Rule Insurance Company
301943
Agent - Life
9/6/1995
3/31/1997
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
5/19/1995
3/31/1997
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
5/19/1995
3/31/1997
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/30/1999
3/5/2001
Inactive
Kanawha Insurance Company
300127
Agent - Life
1/30/1999
3/5/2001
Inactive
Medico Insurance Company
301559
Agent - Health
10/2/1990
7/17/2000
Inactive
National States Insurance Company
300579
Agent - Health
9/26/1996
3/23/2000
Inactive
National States Insurance Company
300579
Agent - Life
9/26/1996
3/23/2000
Inactive
Order of United Commercial Travelers of America
301723
Agent - Life
6/14/1994
12/10/2004
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Health
2/24/1992
12/27/2000
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
2/24/1992
12/27/2000
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
5/31/2001
8/29/2005
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
3/22/1990
8/29/2005
Inactive
Pioneer Life Insurance Company
300110
Agent - Health
7/18/1994
7/1/2003
Inactive
Pioneer Life Insurance Company
300110
Agent - Life
7/18/1994
7/1/2003
Inactive
Protective Life Insurance Company
300638
Agent - Health
5/31/2001
3/4/2005
Inactive
Protective Life Insurance Company
300638
Agent - Life
10/31/1989
3/4/2005
Inactive
Security Life Insurance Company of America
300936
Agent - Health
4/12/1995
12/30/1998
Inactive
Security Life Insurance Company of America
300936
Agent - Life
4/12/1995
12/30/1998
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Health
8/17/1989
11/19/2003
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Life
8/17/1989
11/19/2003
Inactive
Southwestern Life Insurance Company
301343
Agent - Health
11/21/1997
5/2/2003
Inactive
Southwestern Life Insurance Company
301343
Agent - Life
11/21/1997
5/2/2003
Inactive
Time Insurance Company
300683
Agent - Health
9/20/1993
2/26/2001
Inactive
Time Insurance Company
300683
Agent - Life
9/20/1993
2/26/2001
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
9/27/1988
3/22/2001
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
9/27/1988
3/22/2001
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
8/14/1992
3/31/1997
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
8/14/1992
3/31/1997
Inactive
Union Bankers Insurance Company
301769
Agent - Health
1/27/1994
6/20/1997
Inactive
Union Bankers Insurance Company
301769
Agent - Life
1/27/1994
6/20/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
10/25/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
10/25/1995
3/31/1997
Inactive
Washington National Insurance Company
300587
Agent - Health
11/26/1990
6/21/1999
Inactive
Washington National Insurance Company
300587
Agent - Life
11/26/1990
6/21/1999
Inactive
Wilco Life Insurance Company
300122
Agent - Health
5/31/2001
7/14/2006
Inactive
Wilco Life Insurance Company
300122
Agent - Life
2/22/1994
7/14/2006
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Akel, Sami Musa
321418
Agent - Health
6/3/1991
4/25/1996
Inactive
Akel, Sami Musa
321418
Agent - Life
6/3/1991
4/25/1996
Inactive
Al-Awar, Samir A
379131
Agent - Health
5/13/1991
2/11/2003
Inactive
Al-Awar, Samir A
379131
Agent - Life
5/13/1991
2/11/2003
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
9/15/1999
12/31/2001
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
9/15/1999
12/31/2001
Inactive
Barton, Jack V
319023
Agent - Health
2/1/1993
8/10/2000
Inactive
Barton, Jack V
319023
Agent - Life
2/1/1993
8/10/2000
Inactive
Bauter, Richard E
357783
Agent - Health
3/1/1993
6/12/1998
Inactive
Bauter, Richard E
357783
Agent - Life
3/1/1993
6/12/1998
Inactive
Bellomy, Gregory Scott
375025
Agent - Health
1/14/1993
12/1/2000
Inactive
Bellomy, Gregory Scott
375025
Agent - Life
1/14/1993
12/1/2000
Inactive
Bingham, Harold Ray
313255
Agent - Health
10/13/1993
8/10/2000
Inactive
Bingham, Harold Ray
313255
Agent - Life
10/13/1993
8/10/2000
Inactive
Bradshaw, Frank Walker
358971
Agent - Health
6/19/1992
1/11/2005
Inactive
Bradshaw, Frank Walker
358971
Agent - Life
6/19/1992
1/11/2005
Inactive
Brinkley, Betty Jane
345487
Agent - Health
1/6/1993
3/31/1997
Inactive
Brinkley, Betty Jane
345487
Agent - Life
1/6/1993
3/31/1997
Inactive
Brock, Stephen C
380804
Agent - Health
7/19/1991
8/10/2000
Inactive
Brock, Stephen C
380804
Agent - Life
7/19/1991
8/10/2000
Inactive
Bugg, Carla Molisa
372076
Agent - Health
11/15/1995
12/21/1997
Inactive
Bugg, Carla Molisa
372076
Agent - Life
11/15/1995
12/21/1997
Inactive
Cessna, Bonnie Sue
371125
Agent - Health
12/16/1992
8/10/2000
Inactive
Cessna, Bonnie Sue
371125
Agent - Life
12/16/1992
8/10/2000
Inactive
Cessna, James Ellis
386764
Agent - Health
5/9/1991
12/1/2000
Inactive
Cessna, James Ellis
386764
Agent - Life
5/9/1991
12/1/2000
Inactive
Cheney, Gary H
310014
Agent - Health
11/2/1992
8/10/2000
Inactive
Cheney, Gary H
310014
Agent - Life
11/2/1992
8/10/2000
Inactive
Clewell, Bruce Alan
389704
Agent - Life
3/18/1994
11/7/2000
Inactive
Conrad, Marvin Earl
303408
Agent - Health
7/20/1990
12/1/2000
Inactive
Conrad, Marvin Earl
303408
Agent - Life
7/20/1990
12/1/2000
Inactive
Corey, Grover C
394384
Agent - Health
7/9/1992
1/14/1999
Inactive
Corey, Grover C
394384
Agent - Life
7/9/1992
1/14/1999
Inactive
Courtney, Carl R
356757
Agent - Health
3/5/1992
11/7/2000
Inactive
Courtney, Carl R
356757
Agent - Life
3/5/1992
11/7/2000
Inactive
Cummins, Thomas Jerry
382912
Agent - Health
11/5/1992
8/10/2000
Inactive
Cummins, Thomas Jerry
382912
Agent - Life
11/5/1992
8/10/2000
Inactive
Dunn, Randall Laque
340907
Agent - Health
8/27/1991
8/10/2000
Inactive
Dunn, Randall Laque
340907
Agent - Life
8/27/1991
8/10/2000
Inactive
Edmonds, Albert Clinton
350317
Agent - Health
4/23/1992
8/10/2000
Inactive
Edmonds, Albert Clinton
350317
Agent - Life
4/23/1992
8/10/2000
Inactive
Estes, Vicki G
522169
Agent - Health
5/31/2001
7/14/2006
Inactive
Estes, Vicki G
522169
Agent - Life
10/31/2001
7/14/2006
Inactive
Fields, Ronald Coleman
313269
Agent - Health
7/27/1994
8/10/2000
Inactive
Fields, Ronald Coleman
313269
Agent - Life
7/27/1994
8/10/2000
Inactive
Given, Carole Joan
382358
Agent - Health
12/7/1992
1/5/1996
Inactive
Given, Carole Joan
382358
Agent - Life
12/7/1992
1/5/1996
Inactive
Gossett, Emmett Eugene
335690
Agent - Health
6/17/1994
8/10/2000
Inactive
Gossett, Emmett Eugene
335690
Agent - Life
6/17/1994
8/10/2000
Inactive
Grimsley, Earl
346778
Agent - Health
4/22/1992
8/10/2000
Inactive
Grimsley, Earl
346778
Agent - Life
4/22/1992
8/10/2000
Inactive
Hacker, Carl
311450
Agent - Health
5/20/1992
8/10/2000
Inactive
Hacker, Carl
311450
Agent - Life
5/20/1992
8/10/2000
Inactive
Hacker, Lonnie
328105
Agent - Health
5/29/1991
11/7/2000
Inactive
Hacker, Lonnie
328105
Agent - Life
5/29/1991
11/7/2000
Inactive
Hacker, Lonnie Moss
371257
Agent - Health
10/14/1993
2/10/1996
Inactive
Hacker, Lonnie Moss
371257
Agent - Life
10/14/1993
2/10/1996
Inactive
Hadl, Thomas
308926
Agent - Health
12/10/1992
6/12/1998
Inactive
Hadl, Thomas
308926
Agent - Life
12/10/1992
6/12/1998
Inactive
Jackson, Caroline E
344178
Agent - Health
3/2/1992
11/7/2000
Inactive
Jackson, Caroline E
344178
Agent - Life
3/2/1992
11/7/2000
Inactive
Johnson, James Calbert
340283
Agent - Health
8/24/1998
12/1/2000
Inactive
Johnson, Thomas
348732
Agent - Health
6/30/1992
12/1/2000
Inactive
Johnson, Thomas
348732
Agent - Life
6/30/1992
12/1/2000
Inactive
Lankford, William G
371172
Agent - Health
6/6/1991
4/17/1998
Inactive
Lankford, William G
371172
Agent - Life
6/6/1991
4/17/1998
Inactive
McGee, Billie Fay
360875
Agent - Health
1/11/1994
11/7/2000
Inactive
McGee, Billie Fay
360875
Agent - Life
1/11/1994
11/7/2000
Inactive
McGuffey, Doyle Eugene
310463
Agent - Health
4/15/1993
12/1/2000
Inactive
McGuffey, Doyle Eugene
310463
Agent - Life
4/15/1993
12/1/2000
Inactive
McLane, Douglas W
347105
Agent - Health
3/30/1992
8/10/2000
Inactive
McLane, Douglas W
347105
Agent - Life
3/30/1992
8/10/2000
Inactive
Mialback, George Louis
352103
Agent - Health
7/27/1995
4/26/1996
Inactive
Mialback, George Louis
352103
Agent - Life
7/27/1995
4/26/1996
Inactive
Murphy, Doris Jean
384099
Agent - Health
12/21/1992
8/10/2000
Inactive
Murphy, Doris Jean
384099
Agent - Life
12/21/1992
8/10/2000
Inactive
Palas, Patricia Joan
368122
Agent - Health
4/15/1993
8/10/2000
Inactive
Palas, Patricia Joan
368122
Agent - Life
4/15/1993
8/10/2000
Inactive
Parish, James Wesley
304450
Agent - Health
8/3/1994
2/26/1999
Inactive
Parish, James Wesley
304450
Agent - Life
8/3/1994
2/26/1999
Inactive
Parker, Anthony Lynn
314111
Agent - Health
1/5/1994
8/10/2000
Inactive
Parker, Anthony Lynn
314111
Agent - Life
1/5/1994
8/10/2000
Inactive
Parker, Chad Lance
388485
Agent - Health
1/8/1992
8/10/2000
Inactive
Price, Joanne
357240
Agent - Health
6/3/1991
7/1/1996
Inactive
Price, Joanne
357240
Agent - Life
6/3/1991
7/1/1996
Inactive
Puckett, Gregory Wayne
346743
Agent - Health
3/6/1992
7/1/1996
Inactive
Puckett, Gregory Wayne
346743
Agent - Life
3/6/1992
7/1/1996
Inactive
Queen, Sallie Geraldine
310929
Agent - Health
11/12/1993
12/1/2000
Inactive
Queen, Sallie Geraldine
310929
Agent - Life
11/12/1993
12/1/2000
Inactive
Quinnelly, Thomas Edgar
379359
Agent - Health
6/10/1996
4/18/1997
Inactive
Raney, John Calvin
326961
Agent - Health
11/18/1992
8/10/2000
Inactive
Raney, John Calvin
326961
Agent - Life
11/18/1992
8/10/2000
Inactive
Rials, Hubert J
331567
Agent - Health
7/26/1996
8/10/2000
Inactive
Rials, Hubert J
331567
Agent - Life
7/26/1996
8/10/2000
Inactive
Rich, Robert Joseph
385554
Agent - Health
3/17/1992
12/1/2000
Inactive
Rich, Robert Joseph
385554
Agent - Life
3/17/1992
12/1/2000
Inactive
Rowland, Charles Wright
360156
Agent - Health
8/13/1992
8/10/2000
Inactive
Rowland, Charles Wright
360156
Agent - Life
8/13/1992
8/10/2000
Inactive
Rowland, Richard Bowen
376993
Agent - Health
4/10/1991
12/1/2000
Inactive
Rowland, Richard Bowen
376993
Agent - Life
4/10/1991
12/1/2000
Inactive
Shewmaker, Martha Dell
310965
Agent - Health
1/6/1993
8/10/2000
Inactive
Shewmaker, Martha Dell
310965
Agent - Life
1/6/1993
8/10/2000
Inactive
Spichiger, Michael Leon
353218
Agent - Health
3/19/1997
12/1/2000
Inactive
Spichiger, Michael Leon
353218
Agent - Life
3/19/1997
12/1/2000
Inactive
Strothman, Sandra L
331249
Agent - Health
12/24/1991
11/7/2000
Inactive
Strothman, Sandra L
331249
Agent - Life
12/24/1991
11/7/2000
Inactive
Trammell, Sue
375473
Agent - Health
9/15/1995
12/1/2000
Inactive
Trammell, Sue
375473
Agent - Life
9/15/1995
12/1/2000
Inactive
Turpin, Bobby
385407
Agent - Health
8/23/1995
8/10/2000
Inactive
Turpin, Bobby
385407
Agent - Life
8/23/1995
8/10/2000
Inactive
Warder, John Blackford
394042
Agent - Health
2/3/1992
11/19/1997
Inactive
Warder, John Blackford
394042
Agent - Life
2/3/1992
11/19/1997
Inactive
Waters, Ronnie D
315799
Agent - Health
9/8/1993
11/19/1997
Inactive
Waters, Ronnie D
315799
Agent - Life
9/8/1993
11/19/1997
Inactive
Wray, Dolores Faye
369480
Agent - Health
10/4/1995
12/1/2000
Inactive
Wray, Dolores Faye
369480
Agent - Life
10/4/1995
12/1/2000
Inactive
Wray, Richard V
330131
Agent - Health
2/7/1996
12/1/2000
Inactive
Wray, Richard V
330131
Agent - Life
2/7/1996
12/1/2000
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