DEPARTMENT OF INSURANCE

Affiliations

Name	Wombwell Ins Agcy Inc.	DOIID	400950	NAIC NPN	7222784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	5/31/2001	10/29/2004
Inactive	Resident	Agent	Property	8/15/2000	10/29/2004
Inactive	Resident	Agent	General Lines	3/31/1982	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	10/29/2004
Inactive	Resident	Agent	Health	1/24/1994	10/29/2004
Inactive	Resident	Agent	Health Maintenance Organization	5/13/1988	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 Bankers Life Assurance Company of Florida	300171	Agent - Health	1/24/1994	12/31/1998
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	1/24/1994	12/31/1998
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/15/2000	10/29/2004
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - General Lines	3/31/1982	8/15/2000
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/15/2000	10/29/2004
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/15/2000	10/29/2004
Inactive	American Zurich Insurance Company	300592	Agent - General Lines	12/3/1987	8/15/2000
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/15/2000	10/29/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	10/29/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/13/1988	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/26/2001	10/29/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/6/2000	10/29/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/31/2001	10/29/2004
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/1/2002	10/29/2004
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	3/12/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	3/12/1996	3/31/1997
Inactive	Combined Insurance Company of America	301472	Agent - Health	8/22/1989	3/31/1997
Inactive	Combined Insurance Company of America	301472	Agent - Life	8/22/1989	3/31/1997
Inactive	Continental Casualty Company	301019	Agent - Health	6/27/1995	10/29/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/31/2001	10/29/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/30/1986	11/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/30/1986	11/12/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	10/29/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/8/1988	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/19/2000	10/29/2004
Inactive	Humana Insurance Company	301104	Agent - Life	5/31/2001	10/29/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/11/1989	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/11/1989	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/24/1994	10/29/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/31/2001	10/29/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/29/2002	10/29/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/29/2002	10/29/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	7/18/1996	10/29/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	5/31/2001	10/29/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	10/31/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	10/31/2004
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	12/5/1998	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	12/5/1998	10/1/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	11/8/1996	10/22/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	11/8/1996	10/22/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/14/1995	10/29/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/31/2001	10/29/2004
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/15/2000	10/29/2004
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/15/2000	10/29/2004
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/15/2000	10/29/2004
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - General Lines	12/3/1987	8/15/2000
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/15/2000	10/29/2004
Inactive		300277	Agent - Health	2/14/2000	10/29/2004
Inactive		300277	Agent - Life	5/31/2001	10/29/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	8/9/1999	3/1/2001
Inactive	Wombwell, Nancy F	388031	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Wombwell, Nancy F	388031	Agent - General Lines	11/3/1995	8/15/2000
Inactive	Wombwell, Nancy F	388031	Agent - Health	11/3/1995	7/1/2004
Inactive	Wombwell, Nancy F	388031	Agent - Health Maintenance Organization	6/19/2000	3/1/2001
Inactive	Wombwell, Nancy F	388031	Agent - Life	11/3/1995	7/1/2004
Inactive	Wombwell, Nancy F	388031	Agent - Property	8/15/2000	7/1/2004
Inactive	Wombwell-Douglass Insurance	399533	Agent - Casualty	8/15/2000	12/31/2001
Inactive	Wombwell-Douglass Insurance	399533	Agent - General Lines	6/28/1990	8/15/2000
Inactive	Wombwell-Douglass Insurance	399533	Agent - Health	6/28/1990	12/31/2001
Inactive	Wombwell-Douglass Insurance	399533	Agent - Life	6/28/1990	12/31/2001
Inactive	Wombwell-Douglass Insurance	399533	Agent - Property	8/15/2000	12/31/2001

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	5/30/2000	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/30/2000	12/31/2001