DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adult Care Plans/RX America Agency, Inc.	DOIID	583696	NAIC NPN	7733625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/30/2004	3/31/2010
Inactive	Non Resident	Agent	Life	1/30/2004	3/31/2010
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	12/29/2005	11/8/2007
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/29/2005	11/8/2007
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	2/19/2004	8/27/2008
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	2/19/2004	8/27/2008
Inactive	Conseco Health Insurance Company	301725	Agent - Health	1/13/2005	1/18/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	1/13/2005	1/18/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	1/13/2005	3/31/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	1/13/2005	3/31/2010
Inactive	Continental General Insurance Company	300691	Agent - Health	4/25/2007	8/27/2008
Inactive	Continental General Insurance Company	300691	Agent - Life	4/25/2007	8/27/2008
Inactive	Delaware Life Insurance Company	301256	Agent - Life	3/1/2004	3/31/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	12/15/2005	10/1/2006
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/15/2005	10/1/2006
Inactive	National Western Life Insurance Company	301515	Agent - Health	2/17/2004	9/1/2006
Inactive	National Western Life Insurance Company	301515	Agent - Life	2/17/2004	9/1/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/21/2006	4/3/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/21/2006	4/3/2008
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	10/27/2006	5/7/2009
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	10/27/2006	5/7/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fischer, Carl Harold	557214	Agent - Health	4/20/2005	8/31/2009
Inactive	Fischer, Carl Harold	557214	Agent - Life	4/20/2005	8/31/2009
Inactive	Owens, Michael K	580724	Agent - Health	1/30/2004	3/31/2010
Inactive	Owens, Michael K	580724	Agent - Life	1/30/2004	3/31/2010