DEPARTMENT OF INSURANCE

Affiliations

Name	Fish, Jackie Ray	DOIID	602760	NAIC NPN	8386931

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	2/24/2005	12/1/2010
Inactive	Resident	Agent	Health	2/24/2005	12/1/2010
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	11/12/2008	12/1/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/12/2008	12/1/2010
Inactive	American Continental Insurance Company	643130	Agent - Health	10/6/2008	12/1/2010
Inactive	American Continental Insurance Company	643130	Agent - Life	10/6/2008	12/1/2010
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	2/5/2009	12/1/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	4/9/2009	4/5/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	4/9/2009	4/5/2010
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/10/2005	12/1/2010
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/10/2005	12/1/2010
Inactive	American Income Life Insurance Company	300256	Agent - Health	2/24/2005	12/27/2005
Inactive	American Income Life Insurance Company	300256	Agent - Life	2/24/2005	12/27/2005
Inactive	American Public Life Insurance Company	300252	Agent - Health	4/24/2008	5/20/2009
Inactive	American Public Life Insurance Company	300252	Agent - Life	4/24/2008	5/20/2009
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Health	8/25/2009	1/28/2011
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	8/25/2009	1/28/2011
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	5/19/2009	12/1/2010
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/19/2009	12/1/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/12/2009	9/15/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/12/2009	9/15/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	11/26/2007	12/31/2007
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	11/26/2007	12/31/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/25/2008	9/8/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/25/2008	9/9/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/25/2008	9/9/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Health	4/15/2008	11/4/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Life	4/15/2008	11/4/2009
Inactive	Conseco Insurance Company	301202	Agent - Health	4/15/2008	10/9/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	4/15/2008	10/9/2009
Inactive	Continental General Insurance Company	300691	Agent - Health	4/11/2008	11/28/2008
Inactive	Continental General Insurance Company	300691	Agent - Life	4/11/2008	11/28/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/24/2008	12/1/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/24/2008	12/1/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/23/2008	5/25/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/8/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/6/2005	10/18/2006
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/6/2005	10/18/2006
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/23/2008	5/25/2010
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Health	4/24/2008	11/28/2008
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Life	4/24/2008	11/28/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2008	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	8/25/2008	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	8/25/2008	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2008	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/25/2008	9/9/2010
Inactive	Independent Order of Foresters	300743	Agent - Life	4/2/2009	12/16/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/23/2005	10/18/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/23/2005	10/18/2006
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	4/24/2008	12/7/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	4/24/2008	12/7/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	8/20/2008	12/1/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/20/2008	12/1/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/24/2008	12/1/2010
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/11/2008	12/1/2010
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	11/11/2008	12/1/2010
Inactive	Oxford Life Insurance Company	301079	Agent - Health	4/24/2008	8/12/2008
Inactive	Oxford Life Insurance Company	301079	Agent - Life	4/24/2008	8/12/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	8/18/2008	11/29/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	8/18/2008	11/29/2008
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Health	4/24/2008	12/14/2010
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Life	4/24/2008	12/14/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Health	8/13/2008	12/1/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Life	8/13/2008	12/1/2010
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/11/2009	12/1/2010
Inactive	SILAC Insurance Company	300535	Agent - Health	4/29/2008	7/9/2008
Inactive	SILAC Insurance Company	300535	Agent - Life	4/29/2008	7/9/2008
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/9/2009	9/24/2010
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/9/2009	9/24/2010
Inactive	United American Insurance Company	300910	Agent - Health	4/8/2008	12/15/2008
Inactive	United American Insurance Company	300910	Agent - Life	4/8/2008	12/15/2008
Inactive	United Investors Life Insurance Company	301873	Agent - Life	4/21/2006	8/10/2006
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	4/24/2008	12/7/2010
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	4/24/2008	12/7/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	4/24/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/16/2008	12/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/16/2008	12/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Seniors Financial Group, Inc.	544154	Agent - Health	4/17/2008	1/27/2010
Inactive	American Seniors Financial Group, Inc.	544154	Agent - Life	4/17/2008	1/27/2010
Inactive	Medlink Inc	400721	Agent - Health	8/7/2009	12/1/2010
Inactive	Medlink Inc	400721	Agent - Life	8/7/2009	12/1/2010