DEPARTMENT OF INSURANCE

Affiliations

Name	Carpenter, Raymond Burt	DOIID	526470	NAIC NPN	2542521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/27/2010	12/31/2012
Inactive	Non Resident	Agent	Life	7/27/2010	12/31/2012
* 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. (PA)	660717	Agent - Health	4/22/2011	12/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/22/2011	12/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/22/2011	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	9/9/2012	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	9/9/2012	12/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/13/2010	12/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/13/2010	12/31/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/27/2011	12/3/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/27/2011	12/3/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/24/2010	3/24/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/27/2011	12/3/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2010	3/17/2011
Inactive	Humana Insurance Company	301104	Agent - Life	10/15/2010	3/17/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/27/2011	12/3/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/27/2011	12/3/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/27/2011	12/3/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/27/2011	12/3/2012
Inactive	London Pacific Life & Annuity Company	300371	Agent - Life	5/22/2001	3/31/2003
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/13/2010	3/11/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/13/2010	3/11/2011
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/8/2010	3/2/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/13/2010	12/31/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/13/2010	12/31/2012