DEPARTMENT OF INSURANCE

Affiliations

Name	Advanced Health Group, LLC	DOIID	523817	NAIC NPN	7223297

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	4/10/2001	5/31/2005
Inactive	Resident	Agent	Health	4/10/2001	5/31/2005
* 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	AF&L Insurance Company	301582	Agent - Health	5/14/2001	11/23/2001
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/4/2001	5/31/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/4/2001	5/31/2005
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Health	8/6/2001	5/31/2005
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/6/2001	3/14/2003
Inactive	American General Life Insurance Company	301585	Agent - Health	7/15/2002	5/31/2005
Inactive	American General Life Insurance Company	301585	Agent - Life	7/15/2002	5/31/2005
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/4/2002	5/31/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/4/2002	5/31/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/23/2002	5/31/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/23/2002	5/31/2005
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	7/27/2001	5/31/2005
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/4/2001	5/31/2005
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/4/2001	5/31/2005
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	8/27/2001	4/9/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	4/10/2001	12/30/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	4/10/2001	12/30/2004
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	8/15/2001	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	8/15/2001	3/31/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/18/2003	5/31/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Black, Donna Antoinette	534409	Agent - Health	8/20/2001	2/18/2003
Inactive	Black, Donna Antoinette	534409	Agent - Life	8/20/2001	2/18/2003
Inactive	Clemons, Dale Eugene	380447	Agent - Health	11/30/2001	1/13/2004
Inactive	Clemons, Dale Eugene	380447	Agent - Life	11/30/2001	1/13/2004
Inactive	Gossom, Richard Durand	391184	Agent - Health	7/27/2001	1/13/2004
Inactive	Gossom, Richard Durand	391184	Agent - Life	7/27/2001	1/13/2004
Inactive	House, Sherry A	349921	Agent - Health	5/24/2002	5/31/2005
Inactive	House, Sherry A	349921	Agent - Life	5/24/2002	5/31/2005
Inactive	Price, Ephran O'Harra	534431	Agent - Health	11/30/2001	9/27/2002
Inactive	Price, Ephran O'Harra	534431	Agent - Life	11/30/2001	9/27/2002
Inactive	Snider, Glendon Bartil	322106	Agent - Health	4/10/2001	1/13/2004
Inactive	Snider, Glendon Bartil	322106	Agent - Life	4/10/2001	1/13/2004