DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellison Garrett, Inc.	DOIID	521786	NAIC NPN	6837900

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/20/2001	3/13/2003
Inactive	Resident	Agent	Life	2/20/2001	3/13/2003
* 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	CHA HMO, Inc.	300662	Agent - Health	3/11/2002	3/13/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/30/2001	3/13/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/30/2001	3/13/2003
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/20/2002	11/8/2002
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	4/30/2001	3/13/2003
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/30/2001	3/13/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/20/2001	11/8/2002
Inactive	Humana Insurance Company	301104	Agent - Health	2/20/2001	11/8/2002
Inactive	Humana Insurance Company	301104	Agent - Life	2/20/2001	11/8/2002
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	11/8/2002
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	3/28/2001	3/13/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	3/28/2001	3/13/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	1/18/2002	3/13/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	1/18/2002	3/13/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ellison, Michael J	327712	Agent - Health	2/20/2001	3/13/2003
Inactive	Ellison, Michael J	327712	Agent - Life	2/20/2001	3/13/2003
Inactive	Garrett, Tim G	372650	Agent - Health	2/20/2001	3/13/2003
Inactive	Garrett, Tim G	372650	Agent - Life	2/20/2001	3/13/2003