PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameHealthSource LLCDOIID548251NAIC NPN7223502
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife4/15/20023/31/2012 
InactiveResidentAgentHealth4/15/20023/31/2012 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/15/20021/27/2004
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/15/20021/27/2004
InactiveClarendon National Insurance Company300843Agent - Health11/6/20029/24/2004
InactiveDental Concern Inc. (The)301641Agent - Health2/26/200712/19/2009
InactiveGolden Rule Insurance Company301943Agent - Health11/29/20053/31/2012
InactiveGolden Rule Insurance Company301943Agent - Life11/29/20053/31/2012
InactiveHumana Health Plan, Inc.300142Agent - Health1/2/200312/19/2009
InactiveHumana Insurance Company301104Agent - Health12/30/200212/19/2009
InactiveHumana Insurance Company301104Agent - Life12/30/200212/19/2009
InactiveHumanaDental Insurance Company301457Agent - Health10/20/200612/19/2009
InactiveHumanaDental Insurance Company301457Agent - Life10/20/200612/19/2009
InactiveIntegrity Life Insurance Company301687Agent - Health1/21/200312/9/2008
InactiveIntegrity Life Insurance Company301687Agent - Life1/21/200312/9/2008
InactiveMutual of Omaha Insurance Company301012Agent - Health12/19/20022/6/2006
InactivePacifiCare Life and Health Insurance Company301304Agent - Health12/7/200510/14/2010
InactivePacifiCare Life and Health Insurance Company301304Agent - Life12/7/20053/31/2012
InactivePan-American Assurance Company301533Agent - Health10/9/20023/15/2004
InactivePan-American Assurance Company301533Agent - Life10/9/20023/15/2004
InactivePan-American Life Insurance Company301530Agent - Health10/9/20023/15/2004
InactivePan-American Life Insurance Company301530Agent - Life10/9/20023/15/2004
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life1/29/20032/9/2004
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health1/29/20032/9/2004
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life1/29/20032/9/2004
InactiveU.S. Financial Life Insurance Company301812Agent - Life1/18/20069/18/2007
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/15/201010/14/2010
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/15/201010/14/2010
Inactive300277Agent - Life1/23/20033/2/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveClemons, Dale Eugene 380447Agent - Health4/15/20025/31/2008
InactiveClemons, Dale Eugene 380447Agent - Life4/15/20025/31/2008
InactiveMann, Larry G 626797Agent - Health8/13/20083/31/2012
InactiveMann, Larry G 626797Agent - Life8/13/20083/31/2012
InactiveSharp, Kim Ann 534432Agent - Health2/26/20047/1/2006
InactiveSharp, Kim Ann 534432Agent - Life2/26/20047/1/2006
InactiveSpainhour, Jeffrey Dennis 340181Agent - Health2/20/20031/21/2004
InactiveSpainhour, Jeffrey Dennis 340181Agent - Life2/20/20032/26/2004

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