DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bankers Insurance Group, LLC	DOIID	575620	NAIC NPN	7834107

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/17/2003	3/1/2007
Inactive	Non Resident	Agent	Life	9/17/2003	3/1/2007
Inactive	Non Resident	Agent	Casualty	9/17/2003	3/1/2007
Inactive	Non Resident	Agent	Health	9/17/2003	3/1/2007
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	8/2/2005	10/25/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	8/2/2005	10/25/2006
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	3/30/2004	3/1/2007
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	3/30/2004	3/1/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/31/2006	3/1/2007
Inactive	Humana Insurance Company	301104	Agent - Health	5/31/2006	3/1/2007
Inactive	Humana Insurance Company	301104	Agent - Life	5/31/2006	3/1/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/31/2006	3/1/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/31/2006	3/1/2007
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/31/2006	3/1/2007
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/31/2006	3/1/2007
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	10/20/2003	5/26/2004
Inactive	Old Republic Insurance Company	301225	Agent - Property	10/20/2003	5/26/2004
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/17/2004	3/1/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/17/2004	3/1/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/13/2005	12/7/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/13/2005	12/7/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/13/2005	12/7/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/13/2005	12/7/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arnold, James Robert	563369	Agent - Casualty	9/17/2003	12/31/2006
Inactive	Arnold, James Robert	563369	Agent - Health	9/17/2003	12/31/2006
Inactive	Arnold, James Robert	563369	Agent - Life	9/17/2003	12/31/2006
Inactive	Arnold, James Robert	563369	Agent - Property	9/17/2003	12/31/2006
Inactive	Jones, Houston B	348616	Agent - Health	9/17/2003	1/31/2005
Inactive	Jones, Houston B	348616	Agent - Life	9/17/2003	1/31/2005
Inactive	Patterson, David Charles	355222	Agent - Casualty	9/17/2003	5/26/2005
Inactive	Patterson, David Charles	355222	Agent - Health	9/17/2003	2/28/2006
Inactive	Patterson, David Charles	355222	Agent - Life	9/17/2003	5/20/2005
Inactive	Patterson, David Charles	355222	Agent - Property	9/17/2003	5/26/2005