DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Simmons, Gary Marvin	DOIID	594387	NAIC NPN	2994264

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2004	11/30/2021
Inactive	Non Resident	Agent	Life	8/23/2004	11/30/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/15/2009	11/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/15/2009	11/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/15/2009	11/30/2021
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/28/2013	11/30/2021
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	9/9/2004	11/30/2021
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	9/9/2004	11/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	11/2/2016
Inactive	Life of the South Agency, Inc.	588809	Agent - Life	9/23/2004	3/31/2008
Inactive	Life of the South Agency, Inc.	588809	Agent - Health	9/23/2004	3/31/2008
Inactive	Medlink Inc	400721	Agent - Life	9/17/2008	11/30/2021
Inactive	Medlink Inc	400721	Agent - Health	9/17/2008	11/30/2021
Inactive	Partners Benefit Group LLC	675594	Agent - Life	3/31/2008	11/30/2021
Inactive	Partners Benefit Group LLC	675594	Agent - Health	3/31/2008	11/30/2021