DEPARTMENT OF INSURANCE

Affiliations

Name	Gollahon, Frances Carole	DOIID	540278	NAIC NPN	1795429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/6/2016	4/1/2019
Inactive	Resident	Agent	Life	9/6/2016	4/1/2019
Inactive	Resident	Agent	Variable Life and Variable Annuities	3/28/2002	7/1/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/23/2002	7/1/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/24/2009	9/2/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	12/23/2002	7/1/2004
Inactive	American National Insurance Company	301861	Agent - Life	8/27/2009	4/1/2013
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/18/2016	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/18/2016	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/18/2016	10/20/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/31/2011	12/17/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/31/2011	12/17/2012
Inactive	Athene Annuity and Life Company	301893	Agent - Life	5/29/2009	1/5/2011
Inactive	Augustar Life Assurance Corporation	301113	Agent - Variable Life and Variable Annuities	3/28/2002	7/1/2004
Inactive	Augustar Life Insurance Company	301816	Agent - Health	11/26/2002	7/1/2004
Inactive	Augustar Life Insurance Company	301816	Agent - Life	11/26/2002	7/1/2004
Inactive	Augustar Life Insurance Company	301816	Agent - Variable Life and Variable Annuities	3/28/2002	7/1/2004
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	5/24/2011	6/7/2011
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	5/24/2011	6/7/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/30/2009	8/31/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/30/2009	8/31/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/30/2009	8/31/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/30/2009	8/31/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/30/2009	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2009	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	10/30/2009	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/30/2009	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/30/2009	8/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/30/2009	8/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/30/2009	8/31/2011
Inactive	Independent Order of Foresters	300743	Agent - Health	5/13/2011	4/1/2013
Inactive	Independent Order of Foresters	300743	Agent - Life	5/13/2011	4/1/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/31/2003	7/1/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/31/2003	7/1/2004
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/30/2009	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/30/2009	8/31/2011
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	11/26/2002	1/17/2004
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	11/26/2002	1/17/2004
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	5/10/2011	4/1/2013
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	5/10/2011	4/1/2013
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	9/2/2009	12/26/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/28/2011	12/17/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/7/2009	11/4/2011
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/20/2011	11/5/2012
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/20/2011	11/5/2012
Inactive	Time Insurance Company	300683	Agent - Health	1/23/2003	7/1/2004
Inactive	Time Insurance Company	300683	Agent - Life	1/23/2003	7/1/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/25/2011	3/14/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/25/2011	3/14/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/28/2011	12/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/28/2011	12/17/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/7/2009	6/21/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/8/2011	6/21/2012

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	10/18/2016	10/17/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/18/2016	10/17/2018
Inactive	Medlink Inc	400721	Agent - Life	2/13/2003	7/1/2004
Inactive	Medlink Inc	400721	Agent - Health	2/13/2003	7/1/2004
Inactive	National Benefits Brokerage, LLC	615215	Agent - Life	11/9/2009	4/1/2013
Inactive	National Benefits Brokerage, LLC	615215	Agent - Health	11/9/2009	4/1/2013