DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Puckett, Gary Eugene	DOIID	596017	NAIC NPN	8234457

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/1/2004	9/1/2016
Inactive	Resident	Agent	Casualty	6/11/2008	9/1/2016
Inactive	Resident	Agent	Property	6/5/2008	9/1/2016
Inactive	Resident	Agent	Life	10/1/2004	9/1/2016
* 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
Denied	Anthem Life Insurance Company	301209	Agent - Health
Denied	Anthem Life Insurance Company	301209	Agent - Life
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	12/3/2007	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	12/3/2007	10/4/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/22/2005	6/9/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/22/2005	6/9/2008
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	6/11/2008	4/30/2015
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	6/5/2008	4/30/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/28/2009	6/22/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/28/2009	6/22/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/19/2012	4/9/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/19/2012	4/9/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/19/2012	4/9/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/19/2012	4/9/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/20/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/20/2007	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	4/9/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	4/9/2015
Inactive	United Financial Services Inc	400566	Agent - Property	7/16/2009	4/30/2015
Inactive	United Financial Services Inc	400566	Agent - Casualty	7/16/2009	4/30/2015