DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Atha III, Allen	DOIID	501717	NAIC NPN	252178

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/14/2004	11/30/2009
Inactive	Non Resident	Agent	Life	6/14/2004	11/30/2009
* 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 Investors Life Insurance Company, Inc.	301358	Agent - Life	11/15/2005	8/12/2009
Inactive	Delta Life and Annuity Company	301529	Agent - Life	8/6/2001	12/30/2002
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	5/4/2005	2/13/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Investors Sales Group, Inc.	614626	Agent - Life	8/26/2005	8/12/2009