DEPARTMENT OF INSURANCE

Affiliations

Name	Divinity Group Inc.	DOIID	594624	NAIC NPN	8213135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	6/9/2008	3/31/2010
Inactive	Resident	Agent	Health	6/9/2008	3/31/2010
Inactive	Resident	Agent	Casualty	6/9/2008	3/31/2010
Inactive	Resident	Agent	Property	6/9/2008	3/31/2010
Inactive	Resident	Agent	Life	6/9/2008	3/31/2010
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	2/10/2005	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	3/31/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/10/2005	3/31/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/10/2005	3/31/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/2/2005	3/31/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/2/2005	3/31/2008
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	10/4/2006	3/31/2008
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	10/4/2006	3/31/2008
Inactive	American Economy Insurance Company	300315	Agent - Casualty	7/22/2005	2/29/2008
Inactive	American Economy Insurance Company	300315	Agent - Property	7/22/2005	2/29/2008
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	12/5/2008	3/31/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/20/2009	3/31/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/20/2009	3/31/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	12/8/2004	3/4/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	12/8/2004	3/4/2008
Inactive	American States Insurance Company	301230	Agent - Casualty	7/22/2005	2/29/2008
Inactive	American States Insurance Company	301230	Agent - Property	7/22/2005	2/29/2008
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/6/2005	3/31/2008
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/6/2005	3/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/7/2005	3/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/7/2005	3/31/2008
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	4/27/2005	3/31/2008
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	4/27/2005	3/31/2008
Inactive	Augustar Life Insurance Company	301816	Agent - Health	4/27/2005	3/31/2008
Inactive	Augustar Life Insurance Company	301816	Agent - Life	4/27/2005	3/31/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	9/10/2009	3/31/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	9/10/2009	3/31/2010
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/7/2007	5/19/2008
Inactive	CHA HMO, Inc.	300662	Agent - Health	10/11/2004	3/31/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/10/2006	3/31/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/10/2006	3/31/2008
Inactive	Columbus Life Insurance Company	301227	Agent - Health	9/30/2004	3/31/2008
Inactive	Columbus Life Insurance Company	301227	Agent - Life	9/30/2004	3/31/2008
Inactive	Continental Casualty Company	301019	Agent - Casualty	10/4/2006	3/31/2008
Inactive	Continental Casualty Company	301019	Agent - Property	10/4/2006	3/31/2008
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	10/4/2006	3/31/2008
Inactive	Continental Insurance Company (The)	301242	Agent - Property	10/4/2006	3/31/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/31/2010
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	9/8/2005	5/6/2008
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	9/8/2005	5/6/2008
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	9/8/2005	5/6/2008
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	9/8/2005	5/6/2008
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/8/2005	5/6/2008
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/8/2005	5/6/2008
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/23/2005	1/1/2007
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/22/2005	2/29/2008
Inactive	First National Insurance Company of America	301690	Agent - Property	7/22/2005	2/29/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/19/2006	3/31/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/19/2006	3/31/2008
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/22/2005	2/29/2008
Inactive	General Insurance Company of America	300261	Agent - Property	7/22/2005	2/29/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/30/2006	3/31/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/30/2006	3/31/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/17/2009	3/31/2010
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/17/2009	3/31/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/6/2005	11/6/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/6/2005	11/6/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/10/2008	3/31/2010
Inactive	Humana Insurance Company	301104	Agent - Health	10/10/2008	3/31/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/10/2008	3/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/10/2008	3/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/10/2008	3/31/2010
Inactive	Independent Order of Foresters	300743	Agent - Health	8/21/2007	3/31/2008
Inactive	Independent Order of Foresters	300743	Agent - Life	8/21/2007	3/31/2008
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	2/24/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	2/24/2006	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/6/2005	1/25/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/6/2005	1/25/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	11/22/2004	3/31/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	11/22/2004	3/31/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/4/2006	3/31/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/4/2006	3/31/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	3/31/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	3/31/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/19/2008	3/31/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/19/2008	3/31/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	12/7/2005	3/31/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/7/2005	3/31/2008
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	3/31/2005	12/7/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	9/8/2005	5/6/2008
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	9/8/2005	5/6/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/16/2006	5/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/16/2006	5/19/2008
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	10/4/2006	3/31/2008
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	10/4/2006	3/31/2008
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/18/2009	3/31/2010
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	5/18/2009	3/31/2010
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	8/22/2005	3/2/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	8/22/2005	3/2/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/5/2005	9/28/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/5/2005	9/28/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/5/2005	9/28/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/5/2005	9/28/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	10/28/2004	3/31/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	10/28/2004	3/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/30/2004	12/7/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/30/2004	12/7/2006
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/22/2005	2/29/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/22/2005	2/29/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/22/2005	2/29/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/22/2005	2/29/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	10/2/2006	3/31/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	10/2/2006	7/10/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/10/2009	3/31/2010
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	9/10/2009	3/31/2010
Inactive	Standard Insurance Company	300185	Agent - Health	10/1/2005	3/31/2008
Inactive	Standard Insurance Company	300185	Agent - Life	10/1/2005	3/31/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/10/2009	3/31/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/10/2009	3/31/2010
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	10/4/2006	9/26/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	10/4/2006	9/26/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	10/4/2006	3/31/2008
Inactive	Transportation Insurance Company	301575	Agent - Property	10/4/2006	3/31/2008
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/10/2006	3/31/2008
Inactive	TravCo Insurance Company	301828	Agent - Property	8/10/2006	3/31/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	8/10/2006	3/31/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	8/10/2006	3/31/2008
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	9/10/2009	3/31/2010
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	9/10/2009	3/31/2010
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	9/10/2009	3/31/2010
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	9/10/2009	3/31/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/10/2009	3/31/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/10/2009	3/31/2010
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/10/2009	3/31/2010
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/10/2009	3/31/2010
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	8/10/2006	3/31/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	8/10/2006	3/31/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/29/2007	9/18/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/30/2004	12/7/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/30/2004	12/7/2006
Inactive	Union Central Life Insurance Company	300307	Agent - Health	1/13/2009	3/31/2010
Inactive	Union Central Life Insurance Company	300307	Agent - Life	1/13/2009	3/31/2010
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	9/28/2007
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	9/28/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/22/2004	3/31/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/22/2004	3/31/2008
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/22/2004	3/31/2008
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/22/2004	3/31/2008
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	8/3/2006	3/31/2008
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	8/3/2006	3/31/2008
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	8/3/2006	3/31/2008
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	8/3/2006	3/31/2008
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	10/4/2006	3/31/2008
Inactive	Valley Forge Insurance Company	301052	Agent - Property	10/4/2006	3/31/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	12/22/2004	3/31/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/2/2005	3/31/2008
Inactive	Western National Life Insurance Company	300461	Agent - Life	11/30/2004	11/29/2007
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	6/3/2009	7/23/2009
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	6/3/2009	7/23/2009
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Variable Life and Variable Annuities	6/3/2009	7/23/2009
Inactive		300277	Agent - Life	9/30/2004	1/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ast, Jeffrey William	336792	Agent - Casualty	9/9/2004	1/26/2007
Inactive	Ast, Jeffrey William	336792	Agent - Property	9/9/2004	1/26/2007
Denied	Funke, Jodi Nichol	600552	Agent - Health
Denied	Funke, Jodi Nichol	600552	Agent - Life
Inactive	Groth, Kathleen A	594951	Agent - Health	3/3/2005	3/31/2008
Inactive	Groth, Kathleen A	594951	Agent - Life	3/3/2005	3/31/2008
Inactive	Hampel, Joseph	591020	Agent - Health	2/7/2005	7/1/2006
Inactive	Hampel, Joseph	591020	Agent - Life	2/7/2005	7/1/2006
Inactive	Lawrence, Raliegh E	568561	Agent - Health	9/9/2004	7/31/2005
Inactive	Lawrence, Raliegh E	568561	Agent - Life	9/9/2004	7/31/2005
Inactive	Marshall, Jonathan E	392926	Agent - Casualty	6/9/2008	3/31/2010
Inactive	Marshall, Jonathan E	392926	Agent - Health	6/9/2008	3/31/2010
Inactive	Marshall, Jonathan E	392926	Agent - Life	6/9/2008	3/31/2010
Inactive	Marshall, Jonathan E	392926	Agent - Property	6/9/2008	3/31/2010
Inactive	Marshall, Jonathan E	392926	Agent - Variable Life and Variable Annuities	6/9/2008	3/31/2010
Inactive	Moore, Matthew Scott	601835	Agent - Health	2/23/2006	11/30/2007
Inactive	Moore, Matthew Scott	601835	Agent - Life	2/23/2006	11/30/2007
Inactive	Read, Tracy	565394	Agent - Health	9/9/2004	1/26/2007
Inactive	Read, Tracy	565394	Agent - Life	9/9/2004	1/26/2007
Inactive	Wolff, Todd Allen	614414	Agent - Health	2/23/2006	3/31/2008
Inactive	Wolff, Todd Allen	614414	Agent - Life	2/23/2006	3/31/2008