DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Concannon, James Michael	DOIID	571793	NAIC NPN	5050864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/23/2003	10/19/2011
Inactive	Non Resident	Agent	Life	6/23/2003	10/19/2011
Inactive	Non Resident	Agent	Property	6/23/2003	10/19/2011
Inactive	Non Resident	Agent	Health	6/23/2003	10/19/2011
Inactive	Non Resident	Agent	Personal Lines	6/23/2003	10/19/2011
* 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	Anthem Life Insurance Company	301209	Agent - Health	7/1/2004	12/1/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/1/2004	12/1/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2007	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/16/2004	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	3/23/2005	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	3/23/2005	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/26/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/26/2007	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/4/2007	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/4/2007	9/8/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/10/2006	10/19/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/10/2006	10/19/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/10/2006	10/19/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/10/2006	10/19/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Daniel & Henry Co. [The]	522287	Agent - Casualty
Inactive	Daniel & Henry Co. [The]	522287	Agent - Health	7/14/2004	2/22/2007
Inactive	Daniel & Henry Co. [The]	522287	Agent - Life	7/14/2004	2/22/2007
Denied	Daniel & Henry Co. [The]	522287	Agent - Property