DEPARTMENT OF INSURANCE

Affiliations

Name	O'Brien, Judith J	DOIID	544582	NAIC NPN	1705469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/28/2002	2/28/2019
Inactive	Non Resident	Agent	Health	1/28/2002	2/28/2019
* 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	1/17/2011	3/21/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/17/2011	3/21/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	2/24/2006	3/5/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	2/24/2006	3/5/2009
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	3/22/2002	6/12/2018
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	3/22/2002	6/12/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/12/2012	2/28/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/12/2012	2/28/2019
Inactive	HM Life Insurance Company	301408	Agent - Health	11/9/2005	12/29/2016
Inactive	HM Life Insurance Company	301408	Agent - Life	11/9/2005	12/29/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/11/2009	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/11/2009	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/11/2009	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/11/2009	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/11/2009	12/10/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/11/2009	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/11/2009	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/21/2004	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/21/2004	5/4/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/30/2003	2/28/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/30/2003	2/28/2019
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	1/28/2002	8/5/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	1/28/2002	8/5/2016
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	1/28/2002	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	1/28/2002	6/25/2008
Inactive	Trustmark Insurance Company	300317	Agent - Health	5/29/2005	2/22/2011
Inactive	Trustmark Insurance Company	300317	Agent - Life	5/29/2005	2/22/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Farmington Company	534046	Agent - Health	5/8/2003	2/28/2019
Inactive	The Farmington Company	534046	Agent - Life	5/8/2003	2/28/2019