DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	King, Autumm Teneal	DOIID	536728	NAIC NPN	7219260

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/9/2001	11/12/2008
Inactive	Resident	Agent	Life	10/9/2001	11/12/2008
* 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	11/19/2003	11/30/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/19/2003	11/30/2004
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	1/30/2003	10/16/2003
Inactive	Everlake Life Insurance Company	300873	Agent - Life	3/1/2005	8/27/2007
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	9/30/2002	8/29/2007
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/26/2003	12/16/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	8/1/2007	8/28/2007
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	12/3/2004	9/11/2007
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/15/2001	9/11/2007
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	10/9/2001	8/24/2007
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/9/2001	8/24/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	4/27/2004	9/11/2007
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	2/28/2007	8/24/2007