DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mullins, Cam Phillip	DOIID	598467	NAIC NPN	968573

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/16/2004	8/31/2008
Inactive	Non Resident	Agent	Life	11/29/2004	8/31/2008
* 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	Anthem Life Insurance Company	301209	Agent - Health	12/16/2004	8/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/16/2004	8/31/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/17/2007	4/25/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/17/2007	4/25/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/6/2004	8/31/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/6/2004	8/31/2008
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/6/2004	8/31/2008
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/6/2004	8/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	12/9/2004	8/31/2008
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	12/9/2004	8/31/2008