DEPARTMENT OF INSURANCE

Affiliations

Name	Hillard Jr, William Thomas	DOIID	638963	NAIC NPN	8896391

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	10/1/2010	1/1/2013
Inactive	Resident	Agent	Property	11/5/2010	1/1/2013
Inactive	Resident	Agent	Health	9/11/2006	1/1/2013
Inactive	Resident	Agent	Life	10/20/2006	1/1/2013
* 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	Conseco Health Insurance Company	301725	Agent - Health	12/2/2009	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	12/2/2009	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	12/2/2009	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	12/2/2009	10/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/27/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/13/2009	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/13/2009	12/13/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/2/2007	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/2/2007	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/2/2007	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/2/2007	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/2/2007	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/2/2007	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/2/2007	11/27/2010
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	12/14/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	12/14/2006	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	12/14/2006	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	12/14/2006	4/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	1/14/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	1/14/2010
Inactive	MedAmerica Insurance Company	301568	Agent - Health	2/20/2008	6/23/2010
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	1/1/2013
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	1/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Health	1/19/2011	1/1/2013
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Life	12/14/2006	1/1/2013