DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Willis Life Insurance Agency of Ohio, Inc.	DOIID	536486	NAIC NPN	957707

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/1/2001	3/23/2009
Inactive	Non Resident	Agent	Life	10/1/2001	3/23/2009
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	6/27/2008	3/23/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/27/2008	3/23/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/27/2008	3/23/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/1/2001	3/23/2009
Inactive	Humana Insurance Company	301104	Agent - Health	10/1/2001	3/23/2009
Inactive	Humana Insurance Company	301104	Agent - Life	10/1/2001	3/23/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/27/2008	3/23/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/27/2008	3/23/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	3/23/2009
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	3/23/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/5/2007	3/23/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/5/2007	3/23/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/27/2004	3/23/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/27/2004	3/23/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/27/2004	3/23/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/27/2004	3/23/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Long, Alisa C	523731	Agent - Health	10/1/2001	3/23/2009
Inactive	Long, Alisa C	523731	Agent - Life	10/1/2001	3/23/2009
Denied	Lybrook, Patricia Louise	556620	Agent - Health
Denied	Lybrook, Patricia Louise	556620	Agent - Life
Denied	Sabo, David R	577433	Agent - Health
Denied	Sabo, David R	577433	Agent - Life