DEPARTMENT OF INSURANCE

Affiliations

Name	Triple B Insurance Agency of Pikeville Inc.	DOIID	399510	NAIC NPN	7221714

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	3/25/1988	3/1/2001
Inactive	Resident	Agent	Health	6/4/1993	3/31/2017
Inactive	Resident	Agent	Life	8/2/1990	3/31/2017
* 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 Life Insurance Company	301140	Agent - Health	2/9/1999	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/9/1999	9/22/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/23/1996	3/21/2001
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/23/1996	3/21/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	3/31/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/25/1988	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2001	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/4/1993	3/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/4/1993	3/31/2017
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/20/1997	10/14/2003
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	3/31/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	2/3/2000	3/1/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/12/2006	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/12/2006	9/16/2013
Inactive	CHA HMO, Inc.	300662	Agent - Health	7/1/2004	3/27/2013
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/5/1994	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/5/1994	4/1/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	8/15/1996	12/30/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	8/15/1996	12/30/1998
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	9/19/1994	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	9/19/1994	3/31/1997
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/6/2006	3/31/2017
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/6/2006	3/31/2017
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	9/6/2002	10/29/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/15/1995	11/4/1996
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/15/1995	11/4/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/9/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/9/2005	11/10/2008
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/12/2006	4/10/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/12/2006	4/10/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/1/2007	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Health	2/1/2007	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	2/1/2007	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/1/2007	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/1/2007	9/9/2010
Inactive	IL Annuity and Insurance Company	300772	Agent - Life	7/20/1999	6/30/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/27/2000	12/3/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/27/2000	12/3/2002
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	6/30/2003	4/5/2005
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	8/2/1990	12/31/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/18/2004	7/12/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/18/2004	7/12/2010
Inactive	Manhattan Life Insurance Company	300880	Agent - Life	9/23/1997	3/31/2017
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	4/22/1997	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	4/22/1997	3/12/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/15/1998	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/15/1998	8/24/2000
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	7/15/1998	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/15/1998	8/24/2000
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	4/28/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	4/28/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/28/2000	1/12/2006
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	5/4/1999	1/27/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	5/4/1999	1/27/2003
Inactive	Standard Insurance Company	300185	Agent - Health	6/18/1996	3/31/2017
Inactive	Standard Insurance Company	300185	Agent - Life	6/18/1996	3/31/2017
Inactive	Time Insurance Company	300683	Agent - Health	12/4/1998	1/28/2002
Inactive	Time Insurance Company	300683	Agent - Life	12/4/1998	1/28/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	7/17/1996	3/27/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	7/17/1996	3/27/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	11/30/1994	1/14/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	11/30/1994	1/14/2015
Inactive	Wilco Life Insurance Company	300122	Agent - Health	11/2/1994	5/19/2009
Inactive	Wilco Life Insurance Company	300122	Agent - Life	11/2/1994	10/30/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/2/1992	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/2/1992	12/31/2001
Inactive	Burchett, Jack Oakley	336930	Agent - Health	9/7/1989	2/12/2004
Inactive	Burchett, Jack Oakley	336930	Agent - Life	9/7/1989	2/12/2004
Inactive	Burchett, Jack Randall	352400	Agent - Health	6/30/1987	1/31/2010
Inactive	Burchett, Jack Randall	352400	Agent - Life	6/30/1987	1/31/2010
Inactive	Childers, Joe Francis	309717	Agent - Health	8/21/1992	1/31/2008
Inactive	Childers, Joe Francis	309717	Agent - Life	8/21/1992	1/31/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	8/9/1999	3/1/2001
Inactive	Pinson, Charles V	364317	Agent - Health	10/15/2002	5/1/2017
Inactive	Pinson, Charles V	364317	Agent - Life	10/15/2002	5/1/2017
Inactive	Pinson, Joyce F	319331	Agent - Health	10/15/2002	6/1/2012
Inactive	Pinson, Joyce F	319331	Agent - Life	10/15/2002	6/1/2012
Inactive	Spears, Timothy Alan	336107	Agent - Health	11/13/1995	12/1/2000
Inactive	Spears, Timothy Alan	336107	Agent - Life	11/13/1995	12/1/2000