DEPARTMENT OF INSURANCE

Affiliations

Name	Pendergrass, Angela G	DOIID	507191	NAIC NPN	7212600

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/10/2004	7/1/2013
Inactive	Resident	Agent	Property	7/3/2008	7/1/2013
Inactive	Resident	Agent	Life	8/10/2004	7/1/2013
Inactive	Resident	Agent	Casualty	7/3/2008	7/1/2013
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	9/27/2004	9/24/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/27/2004	9/24/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	10/22/2006	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	10/22/2006	10/25/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/9/2001	7/12/2007
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/31/2001	7/12/2007
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	11/1/2007	9/1/2009
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	11/1/2007	9/1/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2004	7/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2004	7/1/2013
Inactive	Athene Annuity and Life Company	301893	Agent - Health	10/1/2008	4/24/2009
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/1/2008	4/24/2009
Inactive	Aviva Life Insurance Company	301615	Agent - Health	11/21/2007	10/1/2008
Inactive	Aviva Life Insurance Company	301615	Agent - Life	11/21/2007	10/1/2008
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	1/24/2007	10/25/2009
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	1/24/2007	10/25/2009
Inactive	Encova Life Insurance Company	301818	Agent - Life	12/7/2004	2/15/2010
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/12/2007	7/1/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/12/2004	10/5/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/12/2004	10/5/2009
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	7/19/2007	7/1/2013
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/19/2007	7/1/2013
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	11/29/2004	6/8/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/26/2004	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/26/2004	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/18/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/18/2012
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/9/2006	7/6/2007
Inactive	MedAmerica Insurance Company	301568	Agent - Health	8/14/2004	7/1/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/30/2004	12/9/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/30/2004	12/9/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/11/2007	11/18/2010
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	3/3/2009	12/13/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	11/16/2007	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	11/16/2007	8/30/2012
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	9/28/2004	3/2/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	9/28/2004	3/2/2007
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	5/30/2008	8/18/2008
Inactive	Puritan Life Insurance Company of America	301892	Agent - Life	5/30/2008	8/18/2008
Inactive	Union Central Life Insurance Company	300307	Agent - Health	1/17/2005	2/22/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Life	1/17/2005	2/22/2007
Inactive	United World Life Insurance Company	300532	Agent - Health	4/11/2007	11/18/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/11/2007	11/18/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/11/2007	11/18/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/16/2007	6/22/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/16/2007	7/1/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/8/2010	6/22/2012

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 - Health	9/21/2004	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/1/2004	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008	7/1/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008	7/1/2013