DEPARTMENT OF INSURANCE

Affiliations

Name	Sikora, Donald Frank	DOIID	567844	NAIC NPN	7284854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	4/14/2003	6/21/2006
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	4/14/2003	6/21/2006
Inactive	Non Resident	Agent	Life	4/14/2003	6/21/2006
Inactive	Non Resident	Agent	Health	4/14/2003	6/21/2006
Inactive	Non Resident	Agent	Property	4/14/2003	6/21/2006
* 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	Humana Health Plan, Inc.	300142	Agent - Health	11/30/2005	4/6/2006
Inactive	Humana Insurance Company	301104	Agent - Health	11/30/2005	4/6/2006
Inactive	Humana Insurance Company	301104	Agent - Life	11/30/2005	4/6/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/30/2005	4/6/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/30/2005	4/6/2006
Inactive	Nassau Life Insurance Company	301406	Agent - Life	1/30/2004	6/21/2006
Inactive	PHL Variable Insurance Company	300525	Agent - Life	1/30/2004	6/21/2006
Inactive	PHL Variable Insurance Company	300525	Agent - Variable Life and Variable Annuities	1/30/2004	6/21/2006
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	4/14/2003	6/21/2006
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	4/14/2003	6/21/2006
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	4/14/2003	4/10/2006
Inactive	State Farm General Insurance Company	301122	Agent - Property	4/14/2003	4/10/2006
Inactive	State Farm Life Insurance Company	301810	Agent - Life	4/14/2003	4/10/2006
Inactive	State Farm Life Insurance Company	301810	Agent - Variable Life and Variable Annuities	4/14/2003	4/10/2006
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	4/14/2003	4/10/2006
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	4/14/2003	6/21/2006
Inactive	Time Insurance Company	300683	Agent - Health	12/5/2005	4/19/2006
Inactive	Time Insurance Company	300683	Agent - Life	12/5/2005	4/19/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Placement Services Inc.	519096	Agent - Casualty	4/25/2003	3/1/2006
Inactive	Insurance Placement Services Inc.	519096	Agent - Health	4/25/2003	4/21/2006
Inactive	Insurance Placement Services Inc.	519096	Agent - Life	4/25/2003	4/21/2006
Inactive	Insurance Placement Services Inc.	519096	Agent - Property	4/25/2003	3/1/2006
Inactive	Insurance Placement Services Inc.	519096	Agent - Variable Life and Variable Annuities	4/25/2003	4/21/2006