DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	RS Insurance Agency, Inc.	DOIID	400499	NAIC NPN	7222470

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Prepaid Dental Plan	12/22/1997	10/2/2001
Inactive	Resident	Agent	Life	10/24/1996	9/5/2006
Inactive	Resident	Agent	Health	10/24/1996	9/5/2006
Inactive	Resident	Agent	Health Maintenance Organization	2/24/2000	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	American States Life Insurance Company	301884	Agent - Health	1/11/2001	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	1/11/2001	12/6/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/20/2000	9/5/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/20/2000	9/5/2006
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	12/6/1996	8/25/1997
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	12/6/1996	8/25/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	9/5/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/24/2000	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	1/11/2000	9/5/2006
Inactive	Humana Insurance Company	301104	Agent - Life	1/11/2000	9/5/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/10/1999	4/13/2001
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/10/1999	4/13/2001
Inactive	Premier Dental Network Inc.	300661	Agent - Prepaid Dental Plan	12/22/1997	2/2/2001
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/24/1996	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/24/1996	1/2/2003
Inactive	Symetra Life Insurance Company	301691	Agent - Health	1/11/2001	9/5/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Life	1/11/2001	9/5/2006
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	10/24/1996	11/13/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	10/24/1996	11/13/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Collins, Aileen M	357431	Agent - Health	2/4/1997	7/1/1998
Inactive	Collins, Aileen M	357431	Agent - Life	2/4/1997	7/1/1998
Inactive	Singleton, Rena M	309573	Agent - Health	5/31/2001	7/1/2006
Inactive	Singleton, Rena M	309573	Agent - Health Maintenance Organization	2/24/2000	3/1/2001
Inactive	Singleton, Rena M	309573	Agent - Life	5/31/2001	7/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/14/2000	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/14/2000	12/31/2001