DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams III, William R	DOIID	581194	NAIC NPN	368427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/26/2003	7/18/2016
Inactive	Non Resident	Agent	Health	11/26/2003	7/18/2016
* 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	Humana Health Plan, Inc.	300142	Agent - Health	7/31/2006	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	7/31/2006	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	7/31/2006	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/15/2005	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/15/2005	9/8/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/6/2004	7/18/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/6/2004	7/18/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lockton Companies Inc.	398333	Agent - Health	10/31/2006	2/24/2009
Inactive	Lockton Companies Inc.	398333	Agent - Life	10/31/2006	2/24/2009
Inactive	Lockton Companies LLC	621496	Agent - Health	12/5/2006	7/18/2016
Inactive	Lockton Companies LLC	621496	Agent - Life	12/5/2006	7/18/2016