DEPARTMENT OF INSURANCE

Affiliations

Name	Pike, Tracey Ann	DOIID	526708	NAIC NPN	7217865

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/26/2005	10/1/2010
Inactive	Resident	Agent	Casualty	8/28/2001	10/1/2010
Inactive	Resident	Agent	Property	7/24/2001	10/1/2010
Inactive	Resident	Agent	Life	3/20/2006	10/1/2010
* 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	8/17/2007	3/23/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/17/2007	3/23/2009
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/22/2004	3/10/2005
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/22/2004	3/10/2005
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/5/2008	8/22/2008
Inactive	Combined Insurance Company of America	301472	Agent - Life	5/5/2008	8/22/2008
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/22/2001	3/11/2005
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/26/2001	3/11/2005
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	11/24/2003	2/24/2005
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	11/24/2003	2/24/2005
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	11/24/2003	2/24/2005
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	11/24/2003	2/24/2005
Inactive	Humana Insurance Company	301104	Agent - Health	10/20/2006	6/11/2007
Inactive	Humana Insurance Company	301104	Agent - Life	10/20/2006	6/11/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/24/2007	6/11/2007
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/26/2001	3/11/2005
Inactive	Indiana Insurance Company	301909	Agent - Property	11/26/2001	3/11/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/26/2001	3/11/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/26/2001	3/11/2005
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/28/2001	3/10/2005
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/24/2001	3/10/2005
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/22/2004	3/10/2005
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/22/2004	3/10/2005
Inactive	Peerless Insurance Company	301910	Agent - Casualty	11/29/2001	3/11/2005
Inactive	Peerless Insurance Company	301910	Agent - Property	11/26/2001	3/11/2005
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/23/2005	8/2/2007
Inactive	State Farm General Insurance Company	301122	Agent - Property	2/23/2005	8/2/2007
Inactive	State Farm Life Insurance Company	301810	Agent - Life	4/20/2006	8/2/2007
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	2/23/2005	8/2/2007
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	8/10/2005	8/2/2007
Inactive	West American Insurance Company	301112	Agent - Casualty	4/22/2004	3/10/2005
Inactive	West American Insurance Company	301112	Agent - Property	4/22/2004	3/10/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jarvis Ins Agency Inc.	400626	Agent - Property	1/5/2004	3/2/2006
Inactive	Jarvis Ins Agency Inc.	400626	Agent - Casualty	1/5/2004	3/2/2006