DEPARTMENT OF INSURANCE

Affiliations

Name	Southers, Leslie Ann	DOIID	563156	NAIC NPN	2680207

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/17/2003	7/31/2013
Inactive	Non Resident	Agent	Life	1/17/2003	7/31/2013
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	9/17/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2011	9/17/2012
Inactive	Everlake Life Insurance Company	300873	Agent - Health	4/22/2003	6/24/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	4/22/2003	6/24/2004
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	1/21/2005	4/30/2010
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	1/21/2005	4/30/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/3/2011	9/17/2012
Inactive	Humana Insurance Company	301104	Agent - Health	8/3/2011	9/17/2012
Inactive	Humana Insurance Company	301104	Agent - Life	8/3/2011	9/17/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/3/2011	9/17/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/3/2011	9/17/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/13/2012	7/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/13/2012	7/31/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	12/16/2009	5/23/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/16/2009	5/23/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/21/2011	12/26/2012
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/19/2003	7/31/2013
Inactive	Revol One Insurance Company	300681	Agent - Health	5/27/2003	1/27/2005
Inactive	Revol One Insurance Company	300681	Agent - Life	5/27/2003	1/27/2005
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	1/26/2009	5/20/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	1/26/2009	5/20/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/20/2008	5/20/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/20/2008	5/20/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/21/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/21/2011	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Global Contact Services	546831	Agent - Health	9/29/2011	7/31/2013
Inactive	Global Contact Services	546831	Agent - Life	9/29/2011	7/31/2013