DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gorham, Edwin Peterson	DOIID	618022	NAIC NPN	8329622

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/18/2005	8/31/2008
Inactive	Non Resident	Agent	Life	10/18/2005	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	Humana Health Plan, Inc.	300142	Agent - Health	7/10/2006	3/21/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/23/2005	3/21/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/23/2005	3/21/2007
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/10/2006	3/21/2007
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/10/2006	3/21/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Health
Denied	Humana MarketPOINT Inc.	398092	Agent - Life