DEPARTMENT OF INSURANCE

Affiliations

Name	Willett, Christopher M	DOIID	513665	NAIC NPN	7214601

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/9/2018	8/31/2020
Inactive	Resident	Agent	Limited Line Credit	8/14/2000	10/31/2004
Inactive	Resident	Agent	Life	3/9/2018	8/31/2020
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	8/31/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/12/2018	8/31/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/16/2018	8/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/12/2018	8/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/12/2018	8/31/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	4/16/2018	8/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/3/2018	9/13/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/3/2018	9/13/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/4/2018	4/7/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	4/13/2018	8/31/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	4/13/2018	8/31/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	3/26/2018	1/30/2019
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	3/26/2018	1/30/2019
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	3/9/2018	8/31/2020
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	3/9/2018	8/31/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/29/2018	8/31/2020
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	3/9/2018	8/31/2020
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	3/9/2018	8/31/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/16/2018	8/31/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/29/2018	12/10/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/12/2018	8/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/4/2018	4/7/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/29/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/4/2018	4/7/2020
Inactive	Humana Insurance Company	301104	Agent - Life	4/4/2018	4/7/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/29/2018	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/4/2018	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/4/2018	12/19/2019
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	12/27/2019	10/8/2020
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	12/27/2019	10/8/2020
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	3/29/2018	9/13/2018
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	3/29/2018	9/13/2018
Inactive	Medico Insurance Company	301559	Agent - Health	10/22/2018	9/8/2020
Inactive	Medico Insurance Company	301559	Agent - Life	10/22/2018	9/8/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/13/2018	8/1/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	8/31/2020
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/14/2000	12/26/2002
Inactive	United World Life Insurance Company	300532	Agent - Health	8/21/2018	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/19/2018	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/19/2018	8/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/4/2018	1/23/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	4/4/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	1/23/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/23/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/4/2018	1/23/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/20/2018	8/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/3/2018	9/14/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/3/2018	9/14/2020
Inactive	Medlink Inc	400721	Agent - Health	3/29/2018	8/31/2020
Inactive	Medlink Inc	400721	Agent - Life	3/29/2018	8/31/2020