DEPARTMENT OF INSURANCE

Affiliations

Name	AIS Administrators Inc	DOIID	518001	NAIC NPN	654161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	1/13/2010		3/31/2026
Active	Non Resident	Agent	Life	3/27/2003		3/31/2026
Active	Non Resident	Agent	Casualty	7/6/2004		3/31/2026
Active	Non Resident	Agent	Health	3/27/2003		3/31/2026
Active	Non Resident	Agent	Property	7/2/2004		3/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/24/2005	1/22/2007
* 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	Aetna Health Inc.	300694	Agent - Health	6/23/2004	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/23/2004	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/23/2004	7/6/2022
Inactive	American General Assurance Company	300586	Agent - Health	3/5/2010	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	3/5/2010	12/31/2012
Active	American General Life Insurance Company	301585	Agent - Health	12/31/2012
Active	American General Life Insurance Company	301585	Agent - Life	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	3/3/2010	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	3/3/2010	12/31/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/7/2004	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/7/2004	9/16/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/18/2006	1/16/2007
Inactive	Farmington Casualty Company	301137	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Farmington Casualty Company	301137	Agent - Property	8/18/2006	1/16/2007
Inactive	Federal Insurance Company	301144	Agent - Health	3/3/2004	2/12/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/7/2004	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/7/2004	10/5/2021
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	8/23/2005	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	8/23/2005	12/31/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/23/2005
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/23/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/28/2005	10/18/2006
Inactive	Humana Insurance Company	301104	Agent - Health	4/29/2005	10/18/2006
Inactive	Humana Insurance Company	301104	Agent - Life	4/29/2005	10/18/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/28/2005	10/18/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/28/2005	10/18/2006
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/28/2010
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/28/2010
Active	New York Life Insurance Company	300431	Agent - Health	4/21/2010
Active	New York Life Insurance Company	300431	Agent - Life	4/21/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/22/2004	6/7/2005
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/22/2004	6/7/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/22/2004	6/7/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/22/2004	6/7/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/3/2004	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/3/2004	12/30/2009
Inactive	Response Worldwide Insurance Company	301194	Agent - Casualty	4/7/2005	12/28/2007
Inactive	Response Worldwide Insurance Company	301194	Agent - Property	4/7/2005	12/28/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/18/2006	1/16/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/18/2006	1/16/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/18/2006	1/16/2007
Inactive	Time Insurance Company	300683	Agent - Health	4/13/2004	9/26/2007
Inactive	Time Insurance Company	300683	Agent - Life	4/13/2004	9/26/2007
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/18/2006	1/16/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/3/2004	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/3/2004	12/30/2009
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	7/19/2004
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	7/19/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Babnik, Marielle Mentzer	566049	Agent - Health
Denied	Babnik, Marielle Mentzer	566049	Agent - Life
Inactive	Bartee, Robert B	375562	Agent - Casualty	9/27/2005	10/31/2006
Inactive	Bartee, Robert B	375562	Agent - Health	9/27/2005	10/31/2006
Inactive	Bartee, Robert B	375562	Agent - Life	9/27/2005	10/31/2006
Inactive	Bartee, Robert B	375562	Agent - Property	9/27/2005	10/31/2006
Active	Benoit, Ronald J	652339	Administrator - Not Applicable	1/13/2010
Active	Benoit, Ronald J	652339	Agent - Casualty	5/9/2008
Active	Benoit, Ronald J	652339	Agent - Health	3/27/2008
Active	Benoit, Ronald J	652339	Agent - Life	3/27/2008
Active	Benoit, Ronald J	652339	Agent - Property	5/9/2008
Inactive	Carney, Georgianna	564822	Agent - Casualty	7/6/2004	6/5/2006
Inactive	Carney, Georgianna	564822	Agent - Property	7/2/2004	6/5/2006
Inactive	Carroll, William Michael	359730	Administrator - Not Applicable	10/31/2000	11/6/2006
Denied	Corney, Susan Elizabeth	564821	Agent - Health
Denied	Corney, Susan Elizabeth	564821	Agent - Life
Denied	Graff, James Gilbert	564981	Agent - Casualty
Denied	Graff, James Gilbert	564981	Agent - Property
Inactive	Hickey, Gary P	354877	Administrator - Not Applicable	10/31/2000	10/26/2006
Inactive	Hickey, Gary P	354877	Agent - Health	4/12/2003	6/5/2006
Inactive	Hickey, Gary P	354877	Agent - Life	4/12/2003	6/5/2006
Inactive	Hudon, David B	652340	Administrator - Not Applicable	2/9/2010	6/30/2017
Inactive	Hudon, David B	652340	Agent - Health	3/31/2008	6/19/2017
Inactive	Hudon, David B	652340	Agent - Life	3/31/2008	6/19/2017
Inactive	Scarborough, Jay Ross	554462	Agent - Casualty	1/18/2005	8/22/2006
Inactive	Scarborough, Jay Ross	554462	Agent - Property	1/18/2005	8/22/2006
Inactive	Scarborough, Jay Ross	554462	Surplus Lines Broker - Not Applicable	8/24/2005	10/23/2006
Active	Schanen, Robert Paul	535732	Agent - Health	10/31/2006
Active	Schanen, Robert Paul	535732	Agent - Life	10/31/2006
Denied	Stalls, Laura	1163443	Agent - Health
Denied	Stalls, Laura	1163443	Agent - Life
Inactive	Wilcox, Benjamin Davis William	576594	Agent - Casualty	10/31/2006	1/19/2010
Inactive	Wilcox, Benjamin Davis William	576594	Agent - Property	10/31/2006	1/19/2010
Inactive	Wilcox, Benjamin Davis William	576594	Surplus Lines Broker - Not Applicable	10/31/2006	1/22/2007
Inactive	Wilson, Patricia A	610684	Agent - Casualty	6/5/2006	10/23/2006
Inactive	Wilson, Patricia A	610684	Agent - Property	6/5/2006	10/23/2006