DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gardner & White Corporation	DOIID	549984	NAIC NPN	64357

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/20/2002	1/28/2013
Inactive	Non Resident	Agent	Health	6/20/2002	1/28/2013
* 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 United Life Insurance Company	300498	Agent - Health	6/20/2002	1/28/2013
Inactive	American United Life Insurance Company	300498	Agent - Life	6/20/2002	1/28/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/19/2012	1/28/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/17/2012	1/28/2013
Inactive	Humana Insurance Company	301104	Agent - Life	10/17/2012	1/28/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/19/2012	1/28/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/19/2012	1/28/2013
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	8/2/2002	3/31/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	8/14/2002	1/28/2013
Inactive	Union Security Insurance Company	301844	Agent - Life	8/14/2002	1/28/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bogenrief, Shawn A	302079	Agent - Health	2/7/2005	1/28/2013
Inactive	Bogenrief, Shawn A	302079	Agent - Life	2/7/2005	1/28/2013
Inactive	Laswell, Lawrence Keith	548758	Agent - Health	6/20/2002	2/25/2004
Inactive	Laswell, Lawrence Keith	548758	Agent - Life	6/20/2002	2/25/2004
Inactive	Suver, Jerry Lynn	548763	Agent - Health	2/25/2004	2/7/2005
Inactive	Suver, Jerry Lynn	548763	Agent - Life	2/25/2004	2/7/2005