DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Systems, Inc.	DOIID	517068	NAIC NPN	3007390

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/17/2002	3/31/2014
Inactive	Non Resident	Agent	Property	10/30/2000	3/31/2014
Inactive	Non Resident	Agent	Health	6/17/2002	3/31/2014
Inactive	Non Resident	Agent	Casualty	10/30/2000	3/31/2014
* 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	2/3/2003	3/31/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/3/2003	3/31/2014
Inactive	American Fidelity Assurance Company	301004	Agent - Health	11/1/2004	6/27/2008
Inactive	American Fidelity Assurance Company	301004	Agent - Life	11/1/2004	6/27/2008
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	11/12/2013
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	11/12/2013
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/1/2007	3/31/2014
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/1/2007	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2007	3/31/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2007	3/31/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	5/25/2004	12/12/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	5/25/2004	12/12/2012
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/21/2010	8/1/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/21/2010	8/1/2013
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	7/18/2002	9/5/2012
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/18/2002	9/5/2012
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	6/18/2007	3/31/2014
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	6/18/2007	3/31/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/14/2006	6/13/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/14/2006	6/13/2012
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	11/12/2013
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	11/12/2013
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/23/2002	11/5/2010
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/23/2002	11/5/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/9/2010	8/15/2012
Inactive	Farmington Casualty Company	301137	Agent - Casualty	9/21/2010	8/1/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	9/21/2010	8/1/2013
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/15/2002	11/12/2013
Inactive	First National Insurance Company of America	301690	Agent - Property	7/15/2002	11/12/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	5/25/2004	12/12/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/25/2004	12/12/2012
Inactive	HM Life Insurance Company	301408	Agent - Health	5/6/2004	10/12/2007
Inactive	HM Life Insurance Company	301408	Agent - Life	5/6/2004	10/12/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/4/2006	11/7/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/4/2006	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/8/2010	7/17/2012
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/8/2010	7/17/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/4/2006	7/17/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/4/2006	7/17/2012
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/4/2006	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/4/2006	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/4/2006	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/4/2006	11/7/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/9/2010	8/15/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/12/2009	8/15/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/12/2009	8/15/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2010	8/15/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2010	8/15/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/12/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/12/2009	2/23/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	11/12/2013
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	11/12/2013
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	7/29/2002	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	7/29/2002	7/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/25/2009	3/24/2014
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/25/2009	3/24/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/23/2010	8/15/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/23/2010	8/15/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/30/2007	6/20/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/30/2007	6/20/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	11/12/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	11/12/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	11/12/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	11/12/2013
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	2/23/2005	3/31/2014
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	2/23/2005	3/31/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	11/12/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	11/12/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	5/17/2012	1/23/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	11/12/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	11/12/2013
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	11/12/2013
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	11/12/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/18/2011	7/5/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/18/2011	7/5/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/18/2011	7/5/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/18/2011	7/5/2012
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	8/4/2006	11/7/2008
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	8/4/2006	11/7/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/12/2008	3/31/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/12/2008	3/31/2014
Inactive	RLI Insurance Company	301217	Agent - Casualty	6/29/2011	6/13/2012
Inactive	RLI Insurance Company	301217	Agent - Property	6/29/2011	6/13/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/30/2000	11/12/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/30/2000	11/12/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/15/2002	11/12/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/15/2002	11/12/2013
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	11/7/2010	7/17/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	11/7/2010	7/17/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/21/2010	8/1/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	9/21/2010	8/1/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/21/2010	8/1/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/21/2010	8/1/2013
Inactive	Time Insurance Company	300683	Agent - Health	10/10/2012	2/28/2013
Inactive	Time Insurance Company	300683	Agent - Life	10/10/2012	2/28/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	9/21/2010	8/1/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	9/21/2010	8/1/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/21/2010	8/1/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	9/21/2010	8/1/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/21/2010	8/1/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/21/2010	8/1/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/21/2010	8/1/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/21/2010	8/1/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/21/2010	8/1/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/21/2010	8/1/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/21/2010	8/1/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/21/2010	8/1/2013
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/4/2006	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/4/2006	11/7/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/12/2008	3/31/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/12/2008	3/31/2014
Inactive	United Financial Casualty Company	301886	Agent - Casualty	8/18/2011	7/5/2012
Inactive	United Financial Casualty Company	301886	Agent - Property	8/18/2011	7/5/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/11/2010	1/23/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/11/2010	1/23/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/27/2006	1/16/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/27/2006	1/16/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/27/2006	1/16/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/27/2006	1/16/2013
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	4/30/2001	2/14/2013
Inactive	Vigilant Insurance Company	301143	Agent - Property	4/30/2001	2/14/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	11/12/2013
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	11/12/2013
Inactive	Western Surety Company	300283	Agent - Casualty	5/4/2004	7/27/2012
Inactive	Westfield Insurance Company	301950	Agent - Casualty	1/14/2002	3/31/2014
Inactive	Westfield Insurance Company	301950	Agent - Property	1/14/2002	3/31/2014
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	11/1/2011	3/31/2014
Inactive	Westfield National Insurance Company	301036	Agent - Property	11/1/2011	3/31/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Browning, Randy Mack	570118	Agent - Health	1/5/2004	3/31/2014
Inactive	Browning, Randy Mack	570118	Agent - Life	1/5/2004	3/31/2014
Inactive	Dalyai, Patricia Lynn	346973	Agent - Health	1/5/2004	11/25/2009
Denied	Dalyai, Patricia Lynn	346973	Agent - Life
Inactive	Kash, Brenda J	720726	Agent - Casualty	8/18/2011	4/23/2013
Inactive	Kash, Brenda J	720726	Agent - Property	8/18/2011	4/23/2013
Inactive	Keller, Arch T	320033	Agent - Casualty	8/15/2000	3/31/2014
Inactive	Keller, Arch T	320033	Agent - Health	8/8/2011	3/31/2014
Inactive	Keller, Arch T	320033	Agent - Life	8/8/2011	3/31/2014
Inactive	Keller, Arch T	320033	Agent - Property	8/15/2000	3/31/2014
Inactive	Lunsford, Michael S	720721	Agent - Casualty	12/9/2011	3/31/2014
Inactive	Lunsford, Michael S	720721	Agent - Property	12/9/2011	3/31/2014
Inactive	Robinson, Charles David	360188	Agent - Casualty	8/15/2000	3/31/2014
Inactive	Robinson, Charles David	360188	Agent - Health	6/17/2002	3/31/2014
Inactive	Robinson, Charles David	360188	Agent - Life	6/17/2002	3/31/2014
Inactive	Robinson, Charles David	360188	Agent - Property	8/15/2000	3/31/2014