DEPARTMENT OF INSURANCE

Affiliations

Name	Gorman, Gregory Ray	DOIID	582441	NAIC NPN	5077987

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/12/2004	1/31/2011
Inactive	Non Resident	Agent	Life	4/12/2004	1/31/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	10/9/2009	1/31/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/9/2009	1/31/2011
Inactive	American Continental Insurance Company	643130	Agent - Health	4/8/2009	1/31/2011
Inactive	American Continental Insurance Company	643130	Agent - Life	4/8/2009	1/31/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	8/21/2008	12/7/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	8/21/2008	12/7/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/17/2008	1/31/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/17/2008	1/31/2011
Inactive	American Republic Insurance Company	300861	Agent - Health	9/30/2009	12/7/2010
Inactive	American Republic Insurance Company	300861	Agent - Life	9/30/2009	12/7/2010
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/3/2008	1/31/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/3/2008	1/31/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	11/27/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/8/2009	1/31/2011
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/8/2009	1/31/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/27/2010
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/6/2009	1/31/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/6/2009	1/31/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/20/2009	5/11/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/20/2009	5/11/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/12/2008	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	9/12/2008	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	9/12/2008	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/12/2008	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/12/2008	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/12/2008	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/12/2008	11/27/2010
Inactive	Independent Order of Foresters	300743	Agent - Life	10/12/2009	1/31/2011
Inactive	Integrity Life Insurance Company	301687	Agent - Life	4/4/2009	11/3/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/12/2008	11/27/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/12/2008	11/27/2010
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	6/5/2008	8/12/2008
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	6/5/2008	8/12/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/11/2008	4/26/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/11/2008	4/26/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/29/2009	1/31/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	1/21/2009	10/24/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	1/21/2009	1/31/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	6/5/2009	1/31/2011
Denied	Security Life Insurance Company of America	300936	Agent - Health
Denied	Security Life Insurance Company of America	300936	Agent - Life
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	6/8/2009	1/31/2011
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	11/5/2009	1/31/2011
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	11/5/2009	1/31/2011
Inactive	Time Insurance Company	300683	Agent - Health	1/22/2010	12/14/2010
Inactive	Time Insurance Company	300683	Agent - Life	1/22/2010	12/14/2010
Inactive	United American Insurance Company	300910	Agent - Health	4/12/2004	8/12/2008
Inactive	United American Insurance Company	300910	Agent - Life	4/12/2004	8/12/2008
Inactive	United Investors Life Insurance Company	301873	Agent - Life	4/12/2004	8/12/2008
Inactive	United World Life Insurance Company	300532	Agent - Health	4/29/2009	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/29/2009	1/31/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/29/2009	1/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/24/2008	10/24/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/24/2008	1/31/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	12/15/2009	1/31/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	12/15/2009	1/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Futurity First Insurance Group LLC	676947	Agent - Health	11/17/2008	1/31/2011
Inactive	Futurity First Insurance Group LLC	676947	Agent - Life	11/17/2008	1/31/2011