DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Beverly, Tab Allen	DOIID	628358	NAIC NPN	443722

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/21/2006	8/31/2009
Inactive	Non Resident	Agent	Life	3/21/2006	8/31/2009
* 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	Continental General Insurance Company	300691	Agent - Health	5/9/2006	11/28/2008
Inactive	Continental General Insurance Company	300691	Agent - Life	5/9/2006	11/28/2008
Inactive	Humana Insurance Company	301104	Agent - Health	1/26/2007	4/10/2008
Inactive	Humana Insurance Company	301104	Agent - Life	1/26/2007	4/10/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/26/2007	4/10/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/26/2007	4/10/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/26/2007	4/10/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/26/2007	4/10/2008
Inactive	Time Insurance Company	300683	Agent - Health	5/31/2006	10/5/2007
Inactive	Time Insurance Company	300683	Agent - Life	5/31/2006	10/5/2007
Inactive	United American Insurance Company	300910	Agent - Health	10/26/2006	10/9/2007
Inactive	United American Insurance Company	300910	Agent - Life	10/26/2006	10/9/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	3/6/2007	11/28/2008
Inactive	HBDC II, Inc	641352	Agent - Life	3/6/2007	11/28/2008