DEPARTMENT OF INSURANCE

Affiliations

Name	Midland Life Ins Agency Inc.	DOIID	400646	NAIC NPN	7222563

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Prepaid Dental Plan	2/14/1984	3/1/2001
Inactive	Resident	Agent	Health	1/14/1986	1/1/2022
Inactive	Resident	Agent	Life	5/31/2001	1/1/2022
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	12/22/1998	5/20/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/31/2001	5/20/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/12/1996	12/17/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/12/1996	12/17/1998
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/22/2002	1/1/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/22/2002	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/25/1998	1/1/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/31/2001	1/1/2022
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	10/13/2010	1/1/2022
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	10/13/2010	1/1/2022
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	1/14/1986	1/1/2022
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	5/31/2001	1/1/2022
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/1/2006	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/1/2006	4/1/2007
Inactive	Chase Life and Annuity Company	300145	Agent - Health	7/20/1992	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	7/20/1992	12/11/1996
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/10/2005	11/21/2006
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/6/2002	11/21/2006
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/6/2002	11/21/2006
Inactive	CompDent Corporation	301387	Agent - Health	3/1/2001	12/23/2004
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	2/14/1984	3/1/2001
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/23/1996	12/23/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/23/1996	12/23/1998
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/19/1987	2/24/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Health	4/13/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/13/2006	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	10/4/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/4/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/4/2005	11/10/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/16/1997	1/13/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/16/1997	1/13/2000
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	8/31/1982	12/28/1998
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	8/31/1982	12/28/1998
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	3/18/2010	1/1/2022
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	3/18/2010	1/1/2022
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	11/8/2005	11/20/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	11/8/2005	11/20/2009
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	4/28/1998	12/7/2007
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	5/31/2001	12/7/2007
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/18/1998	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/18/1998	3/12/2002
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/31/2001	10/18/2005
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	4/28/1998	4/4/2000
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	5/27/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	5/31/2001	5/27/2005
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/20/1996	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/20/1996	11/30/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	12/22/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/22/2010
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/4/1997	1/2/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	4/28/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/4/1997	1/2/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	4/28/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	11/20/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	11/20/2006
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	11/19/1998	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	11/19/1998	10/1/2003
Inactive	Time Insurance Company	300683	Agent - Health	1/14/1986	10/17/2011
Inactive	Time Insurance Company	300683	Agent - Life	5/31/2001	10/17/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/10/2009	1/1/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/10/2009	1/1/2022
Inactive	United American Insurance Company	300910	Agent - Health	1/14/1986	3/2/2021
Inactive	United American Insurance Company	300910	Agent - Life	5/31/2001	3/2/2021
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/25/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/25/1996	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	3/10/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	3/10/1995	3/31/1997
Inactive		300277	Agent - Health	9/11/1998	1/1/2007
Inactive		300277	Agent - Life	5/31/2001	1/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/26/1996	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	11/26/1996	12/31/2001
Inactive	Conley, Susan Kay	338713	Agent - Health	12/31/2003	8/18/2004
Inactive	Conley, Susan Kay	338713	Agent - Life	12/31/2003	8/18/2004
Inactive	Cook, Kyra C	352012	Agent - Health	9/3/1996	8/11/1998
Inactive	Cook, Kyra C	352012	Agent - Life	9/3/1996	8/11/1998
Inactive	Lykins, Carolyn Sue	356913	Agent - Health	9/3/1996	3/28/2003
Inactive	Lykins, Carolyn Sue	356913	Agent - Life	9/3/1996	3/28/2003
Inactive	Pack, Lucille	380680	Agent - Health	9/3/1996	12/1/2000
Inactive	Pack, Lucille	380680	Agent - Life	9/3/1996	12/1/2000
Inactive	Willis, Greg Gilbert	304429	Agent - Health	8/13/1982	10/31/2021
Inactive	Willis, Greg Gilbert	304429	Agent - Life	8/13/1982	10/31/2021
Inactive	Woods, Lauren Nicole	663185	Agent - Health	7/23/2009	3/21/2011
Inactive	Woods, Lauren Nicole	663185	Agent - Life	7/23/2009	3/21/2011