DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Consolidated Brokerage Services Llc	DOIID	629147	NAIC NPN	8648443

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/10/2006	3/31/2012
Inactive	Non Resident	Agent	Health	4/10/2006	3/31/2012
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	2/19/2008	3/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/18/2008	3/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/18/2008	3/31/2012
Inactive	American United Life Insurance Company	300498	Agent - Health	11/10/2009	3/31/2012
Inactive	American United Life Insurance Company	300498	Agent - Life	11/10/2009	3/31/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	3/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/25/2006	3/31/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	3/31/2012
Inactive	Humana Insurance Company	301104	Agent - Health	5/24/2006	3/31/2012
Inactive	Humana Insurance Company	301104	Agent - Life	5/24/2006	3/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/24/2006	3/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/24/2006	3/31/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/24/2006	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/24/2006	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/25/2010	3/31/2012
Inactive	Time Insurance Company	300683	Agent - Health	7/3/2007	3/31/2012
Inactive	Time Insurance Company	300683	Agent - Life	7/3/2007	3/31/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	McDevitt, Randall Rodger	316609	Agent - Health	4/10/2006	3/31/2012
Inactive	McDevitt, Randall Rodger	316609	Agent - Life	4/10/2006	3/31/2012