DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	MDC, Inc	DOIID	598640	NAIC NPN	8310086

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/19/2004	3/31/2008
Inactive	Resident	Agent	Health	11/19/2004	3/31/2008
* 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	Baptist Health Plan, Inc.	300157	Agent - Health	2/3/2005	3/31/2008
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	8/29/2005	3/31/2008
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	8/29/2005	3/31/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/18/2005	3/31/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	3/4/2005	10/2/2006
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/4/2005	10/2/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/3/2004	3/31/2008
Inactive	Humana Insurance Company	301104	Agent - Health	12/3/2004	3/31/2008
Inactive	Humana Insurance Company	301104	Agent - Life	12/3/2004	3/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/3/2004	3/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/3/2004	3/31/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/21/2005	3/31/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/21/2005	3/31/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Campbell, John Louis	351599	Agent - Health	11/19/2004	3/31/2008
Inactive	Campbell, John Louis	351599	Agent - Life	11/19/2004	3/31/2008