DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Louisville Health Alliance Inc.	DOIID	400769	NAIC NPN	7222665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/1/1995	3/31/2013
Inactive	Resident	Agent	Life	9/1/1995	3/31/2013
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	4/2/2003
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	4/2/2003
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/1/1995	4/2/2003
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/1/1995	4/2/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thompson, Donald B	352486	Agent - Health	3/12/2004	3/31/2013
Inactive	Thompson, Donald B	352486	Agent - Life	3/12/2004	3/31/2013