DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Elite Brokerage Services, Inc.	DOIID	587536	NAIC NPN	957410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/5/2004	3/31/2016
Inactive	Non Resident	Agent	Health	4/5/2004	3/31/2016
* 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	ACE American Insurance Company	300625	Agent - Health	8/18/2004	2/19/2008
Inactive	American Fidelity Assurance Company	301004	Agent - Health	4/20/2004	9/28/2015
Inactive	American Fidelity Assurance Company	301004	Agent - Life	4/20/2004	9/28/2015
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/10/2005	9/1/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/10/2005	9/1/2011
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/27/2005	3/31/2016
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/27/2005	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/15/2005	3/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/15/2005	3/31/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	3/2/2010	3/31/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/2/2010	3/31/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/5/2004	3/31/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/5/2004	3/31/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/28/2009	5/10/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/28/2009	5/10/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Naylor, Russell R	582899	Agent - Health	4/5/2004	3/31/2016
Inactive	Naylor, Russell R	582899	Agent - Life	4/5/2004	3/31/2016