DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Changaris, Raymona Mosley	DOIID	572313	NAIC NPN	7736745

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/12/2004	3/28/2008
Inactive	Resident	Agent	Health	2/12/2004	3/28/2008
* 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	4/15/2004	3/28/2008
Inactive	American United Life Insurance Company	300498	Agent - Life	4/15/2004	3/28/2008
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/23/2004	6/1/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/23/2004	6/1/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/23/2004	3/28/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/23/2004	3/28/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	2/10/2004	7/16/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	2/10/2004	7/16/2004
Inactive	United American Insurance Company	300910	Agent - Health	7/15/2003	10/29/2003
Inactive	United American Insurance Company	300910	Agent - Life	7/15/2003	10/29/2003
Inactive	United Investors Life Insurance Company	301873	Agent - Life	7/15/2003	10/29/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/15/2004	4/26/2006
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/15/2004	4/26/2006
Inactive	Hub International Southeast	502135	Agent - Health	8/10/2005	1/24/2007
Inactive	Hub International Southeast	502135	Agent - Life	8/10/2005	1/24/2007