DEPARTMENT OF INSURANCE

Affiliations

Name	Cuna Mutual Insurance Agency of Kentucky Inc.	DOIID	400473	NAIC NPN	7222447

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	3/23/1995	8/15/2000
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/10/2001	3/12/2004
Inactive	Resident	Agent	Casualty	8/15/2000	3/12/2004
Inactive	Resident	Agent	Health	3/23/1995	3/15/2004
Inactive	Resident	Agent	Life	3/23/1995	3/12/2004
Inactive	Resident	Agent	Health Maintenance Organization	11/14/1997	3/1/2001
Inactive	Resident	Agent	Property	8/15/2000	3/12/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	3/5/2003	3/15/2004
Inactive	Aetna Health Inc.	300694	Agent - Life	3/5/2003	3/12/2004
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/5/2003	3/15/2004
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/5/2003	3/12/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/19/2001	3/15/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/1/1997	3/12/2004
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	5/1/2000	5/28/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	5/1/2000	5/28/2002
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/31/1998	3/15/2004
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/31/1998	3/12/2004
Inactive	American National Insurance Company	301861	Agent - Health	7/2/2003	3/15/2004
Inactive	American National Insurance Company	301861	Agent - Life	7/2/2003	3/12/2004
Inactive	American Security Insurance Company	300901	Agent - Casualty	8/15/2000	2/18/2004
Inactive	American Security Insurance Company	300901	Agent - General Lines	12/28/1995	8/15/2000
Inactive	American Security Insurance Company	300901	Agent - Property	8/15/2000	2/18/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/8/2002	3/15/2004
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/8/2002	3/15/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/1/1998	3/15/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/1/1998	3/12/2004
Inactive	Assurity Life Insurance Company	301099	Agent - Health	8/28/2000	12/31/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Life	8/28/2000	12/31/2003
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	12/28/2001	3/12/2004
Inactive	BITCO National Insurance Company	301366	Agent - Property	12/28/2001	3/12/2004
Inactive	CMFG Life Insurance Company	300929	Agent - Health	3/23/1995	3/15/2004
Inactive	CMFG Life Insurance Company	300929	Agent - Life	3/23/1995	3/12/2004
Inactive	CUMIS Insurance Society Inc.	300859	Agent - Casualty	8/15/2000	3/12/2004
Inactive	CUMIS Insurance Society Inc.	300859	Agent - General Lines	3/23/1995	8/15/2000
Inactive	CUMIS Insurance Society Inc.	300859	Agent - Property	8/15/2000	3/12/2004
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Life	3/2/2001	3/12/2004
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Variable Life and Variable Annuities	5/10/2001	3/12/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/15/1999	3/15/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/15/1999	3/12/2004
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	3/21/2002	3/12/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/9/2002	3/15/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/9/2002	3/12/2004
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/6/1996	3/15/2004
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/6/1996	3/12/2004
Inactive	Delaware Life Insurance Company	301256	Agent - Life	8/27/2001	3/12/2004
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	8/27/2001	3/12/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/17/2002	12/31/2003
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	10/21/2002	1/5/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Health	5/30/2003	3/15/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	5/30/2003	3/12/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	5/30/2003	3/12/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	11/15/1999	3/15/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/15/1999	3/12/2004
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/29/2002	3/12/2004
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/29/2002	3/12/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	7/24/2000	3/15/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	7/24/2000	3/12/2004
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	3/12/2004
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	10/31/1995	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	3/12/2004
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	3/12/2004
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	5/29/1996	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	3/12/2004
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	9/26/2000	11/28/2003
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	6/13/2001	11/28/2003
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	5/30/2003	3/12/2004
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Variable Life and Variable Annuities	5/30/2003	3/12/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/2/1997	3/14/2001
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/2/1997	3/14/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	12/31/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/14/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/18/1997	12/31/2003
Inactive	Humana Insurance Company	301104	Agent - Life	9/18/1997	12/31/2003
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	12/31/2003
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	12/27/1999	12/1/2003
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	12/27/1999	12/1/2003
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/13/2000	3/15/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/13/2000	3/12/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	11/13/2000	3/12/2004
Inactive	Keyport Life Insurance Company	300319	Agent - Life	3/10/2003	12/31/2003
Inactive	LM Insurance Corporation	301061	Agent - Casualty	7/29/2002	3/12/2004
Inactive	LM Insurance Corporation	301061	Agent - Property	7/29/2002	3/12/2004
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	7/29/2002	3/12/2004
Inactive	Liberty Insurance Corporation	300444	Agent - Property	7/29/2002	3/12/2004
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/29/2002	3/12/2004
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/29/2002	3/12/2004
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/29/2002	3/12/2004
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/29/2002	3/12/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	4/21/2000	3/15/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	4/21/2000	3/12/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/10/2000	3/15/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/10/2000	3/12/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	5/16/2001	3/12/2004
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	3/31/1999	3/15/2004
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	3/31/1999	3/12/2004
Inactive	Manhattan Life Insurance Company	300880	Agent - Life	2/6/1997	3/12/2004
Inactive	MedAmerica Insurance Company	301568	Agent - Health	2/15/2002	3/15/2004
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	4/21/2000	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	4/21/2000	3/12/2002
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/7/1999	12/9/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/7/1996	3/15/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/7/1996	3/12/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/22/2001	3/12/2004
Inactive	Oxford Life Insurance Company	301079	Agent - Health	11/3/1999	4/1/2003
Inactive	Oxford Life Insurance Company	301079	Agent - Life	11/3/1999	4/1/2003
Inactive	Pacific Life Insurance Company	301848	Agent - Life	7/10/2002	3/12/2004
Denied	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	3/2/2001	10/26/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	3/2/2001	10/26/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	2/16/2000	7/1/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	2/16/2000	7/1/2003
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/10/1999	3/15/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/10/1999	3/12/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/11/2002	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/11/2002	10/24/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/30/2000	3/15/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/30/2000	3/12/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Health	10/30/2000	3/15/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/30/2000	3/12/2004
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	3/15/2004
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	3/12/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	3/15/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	3/12/2004
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	1/7/2000	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	1/7/2000	10/1/2003
Inactive	Standard Insurance Company	300185	Agent - Health	7/11/2003	3/15/2004
Inactive	Standard Insurance Company	300185	Agent - Life	7/11/2003	3/12/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	8/17/2001	3/15/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/17/2001	3/12/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	8/17/2001	3/12/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	8/17/2001	3/15/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	8/17/2001	3/12/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	8/17/2001	3/12/2004
Inactive	Time Insurance Company	300683	Agent - Health	2/16/2000	3/15/2004
Inactive	Time Insurance Company	300683	Agent - Life	2/16/2000	3/12/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/25/2000	3/12/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/11/2002	10/24/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/11/2002	10/24/2003
Inactive	USG Annuity & Life Company	300457	Agent - Life	7/24/2003	1/1/2004
Inactive	Union Central Life Insurance Company	300307	Agent - Health	9/18/2003	12/5/2003
Inactive	Union Central Life Insurance Company	300307	Agent - Life	9/18/2003	12/5/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/18/2000	12/9/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/18/2000	12/9/2003
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	3/15/2004
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	6/29/2000	3/1/2001
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	3/12/2004
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	6/1/2001	2/20/2004
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	6/1/2001	2/20/2004
Inactive	Washington National Insurance Company	300587	Agent - Health	7/1/2003	3/15/2004
Inactive	Washington National Insurance Company	300587	Agent - Life	7/1/2003	3/12/2004
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/10/2000	3/12/2004
Inactive		300277	Agent - Health	2/7/2000	3/15/2004
Inactive		300277	Agent - Life	2/7/2000	2/26/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/21/1998	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/21/1998	12/31/2001
Inactive	Brigham, Derek J	334696	Agent - Health	7/24/1997	3/15/2004
Inactive	Brigham, Derek J	334696	Agent - Life	7/24/1997	3/12/2004
Inactive	Brigham, Derek J	334696	Agent - Variable Life and Variable Annuities	5/10/2001	3/12/2004
Inactive	Fish, Tammy L	312189	Agent - Health	3/1/2001	4/16/2001
Inactive	Fish, Tammy L	312189	Agent - Health Maintenance Organization	11/14/1997	3/1/2001
Inactive	Jolicoeur, William Joseph	393872	Agent - Health	3/23/1995	4/7/1997
Inactive	Jolicoeur, William Joseph	393872	Agent - Life	3/23/1995	4/7/1997
Inactive	Kieffer, Robert Arthur	343328	Agent - Casualty	8/15/2000	3/12/2004
Inactive	Kieffer, Robert Arthur	343328	Agent - General Lines	3/23/1995	8/15/2000
Inactive	Kieffer, Robert Arthur	343328	Agent - Health	3/23/1995	3/15/2004
Inactive	Kieffer, Robert Arthur	343328	Agent - Life	3/23/1995	3/12/2004
Inactive	Kieffer, Robert Arthur	343328	Agent - Property	8/15/2000	3/12/2004