DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hall, Misty Dawn	DOIID	625082	NAIC NPN	8597046

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/2/2006	6/30/2011
Inactive	Non Resident	Agent	Health	2/2/2006	6/30/2011
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/8/2007	5/26/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/8/2007	5/26/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/16/2006	9/4/2008
Inactive	Humana Insurance Company	301104	Agent - Health	3/16/2006	9/4/2008
Inactive	Humana Insurance Company	301104	Agent - Life	3/16/2006	9/4/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/16/2006	9/4/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/16/2006	9/4/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/7/2006	6/30/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Homefront Insurance Group, Inc.	672251	Agent - Life
Inactive	Homefront Insurance Group, Inc.	672251	Agent - Health	9/15/2008	6/30/2011