DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carmickle, Donald Dax	DOIID	516238	NAIC NPN	7215267

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/9/2000	4/30/2004
Inactive	Resident	Agent	Health	11/9/2000	4/30/2004
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/11/2001	4/30/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/11/2001	4/30/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	2/14/2001	8/7/2003
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	2/14/2001	8/7/2003
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	11/9/2000	12/12/2000
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	11/9/2000	12/12/2000
Inactive	New York Life Insurance Company	300431	Agent - Health	11/9/2000	12/12/2000
Inactive	New York Life Insurance Company	300431	Agent - Life	11/9/2000	12/12/2000
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	11/9/2000	12/12/2000
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	11/9/2000	12/12/2000
Inactive	Pacific Life Insurance Company	301848	Agent - Health	1/22/2001	8/7/2003
Inactive	Pacific Life Insurance Company	301848	Agent - Life	1/22/2001	8/7/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	8/9/2001	1/29/2003
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	1/29/2003
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	4/30/2001	3/21/2003
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	4/30/2001	3/21/2003