DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Integrated Capital Corporation	DOIID	400410	NAIC NPN	2110464

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/18/1992	5/31/2003
Inactive	Resident	Agent	Health	5/18/1992	5/31/2003
* 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	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/18/1992	4/9/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	5/18/1992	4/9/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dame, Richard Curtis	353266	Agent - Health	5/10/1988	4/9/2003
Inactive	Dame, Richard Curtis	353266	Agent - Life	5/10/1988	4/9/2003