DEPARTMENT OF INSURANCE

Affiliations

Name	Eardman, Dawn	DOIID	637638	NAIC NPN	5292909

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/10/2006	11/30/2013
Inactive	Non Resident	Agent	Health	8/10/2006	11/30/2013
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	9/25/2006	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/25/2006	12/22/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/8/2013	1/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/8/2013	1/11/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/25/2006	12/22/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/25/2006	12/22/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/26/2011	11/23/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/26/2011	11/23/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/8/2013	1/11/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/8/2013	1/11/2014
Inactive	Humana Insurance Company	301104	Agent - Life	5/8/2013	1/11/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2006	7/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/25/2006	7/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/27/2013	1/11/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/27/2013	1/11/2014
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	8/23/2006	1/7/2013
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	8/23/2006	1/7/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/1/2006	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/1/2006	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/1/2006	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/1/2006	12/14/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Designated Agent Company Inc.	681257	Agent - Health
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Medlink Inc	400721	Agent - Health	2/6/2008	1/7/2013
Inactive	Medlink Inc	400721	Agent - Life	2/6/2008	11/23/2012
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	11/20/2006	8/20/2012
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	11/20/2006	8/20/2012