DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Leslie Lynn	DOIID	609159	NAIC NPN	8471481

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	5/24/2005	11/30/2027
Active	Resident	Agent	Health	5/24/2005	11/30/2027
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/24/2005	6/10/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/24/2005	6/10/2009
Active	American Heritage Life Insurance Company	300272	Agent - Health	4/11/2007
Active	American Heritage Life Insurance Company	300272	Agent - Life	4/11/2007
Inactive	American United Life Insurance Company	300498	Agent - Health	9/17/2014	9/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	9/17/2014	9/29/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/20/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/20/2013	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/14/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/6/2010	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/6/2010	6/26/2013
Active	Continental American Insurance Company	301700	Agent - Health	12/1/2010
Active	Continental American Insurance Company	301700	Agent - Life	12/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/17/2018	4/9/2019
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	12/8/2009
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	12/8/2009
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/25/2018
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/25/2018
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/17/2011
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/17/2011
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/15/2018	4/9/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Insurance Company	301104	Agent - Health	6/12/2009	4/9/2019
Inactive	Humana Insurance Company	301104	Agent - Life	6/12/2009	4/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/17/2018	4/9/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/17/2018	4/9/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/12/2009	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/12/2009	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/16/2016	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/16/2016	1/22/2018
Active	Pan-American Life Insurance Company	301530	Agent - Health	10/2/2009
Active	Pan-American Life Insurance Company	301530	Agent - Life	10/2/2009
Active	Trustmark Insurance Company	300317	Agent - Health	8/14/2008
Active	Trustmark Insurance Company	300317	Agent - Life	8/14/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/5/2013	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/5/2013	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/5/2013	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/5/2013	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners NL, LLC	762387	Agent - Life	2/27/2013
Active	Assuredpartners NL, LLC	762387	Agent - Health	2/27/2013
Inactive	Brown & Brown Dealer Services, LLC	580592	Agent - Life	11/30/2005	2/12/2014
Inactive	Brown & Brown Dealer Services, LLC	580592	Agent - Health	11/30/2005	2/12/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	10/20/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	10/20/2013