DEPARTMENT OF INSURANCE

Affiliations

Name	Carroll, James L	DOIID	630375	NAIC NPN	939920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/18/2006	4/30/2012
Inactive	Non Resident	Agent	Life	4/18/2006	4/30/2012
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	8/12/2008	4/30/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/12/2008	11/30/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/12/2008	11/30/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	4/30/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/5/2006	9/23/2010
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/5/2006	9/23/2010
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/13/2006	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/1/2009	4/30/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	4/30/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/12/2008	4/30/2012
Inactive	Humana Insurance Company	301104	Agent - Health	8/12/2008	4/30/2012
Inactive	Humana Insurance Company	301104	Agent - Life	8/12/2008	4/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/12/2008	4/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/12/2008	4/30/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/12/2008	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/12/2008	2/22/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/4/2006	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/4/2006	6/7/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/4/2006	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/4/2006	6/8/2011
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	5/4/2006	7/12/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/12/2008	4/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/12/2008	4/30/2012
Inactive	Time Insurance Company	300683	Agent - Health	9/20/2006	11/1/2010
Inactive	Time Insurance Company	300683	Agent - Life	9/20/2006	11/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Florists' Insurance Service Inc.	398722	Agent - Life	1/26/2007	9/30/2010
Inactive	Florists' Insurance Service Inc.	398722	Agent - Health	1/26/2007	9/30/2010
Inactive	Medlink Inc	400721	Agent - Life	1/14/2009	4/30/2012
Inactive	Medlink Inc	400721	Agent - Health	1/14/2009	4/30/2012