DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Insurint Corporation 62548	DOIID	641654	NAIC NPN	8899171

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/10/2006	3/31/2010
Inactive	Non Resident	Agent	Life	10/10/2006	3/31/2010
* 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.	300694	Agent - Health	9/18/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	3/31/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/18/2007	3/31/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/18/2007	3/31/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/31/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	3/31/2010
Inactive	Humana Insurance Company	301104	Agent - Health	1/12/2007	3/31/2010
Inactive	Humana Insurance Company	301104	Agent - Life	1/12/2007	3/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/12/2007	3/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/12/2007	3/31/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/12/2007	3/31/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/12/2007	3/31/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	1/16/2008	1/20/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	1/16/2008	1/20/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chinigo, Michael Taliaferro	560045	Agent - Health	5/29/2009	3/31/2010
Inactive	Chinigo, Michael Taliaferro	560045	Agent - Life	5/29/2009	3/31/2010
Inactive	Eissa, Charles Anthony	628384	Agent - Health	10/10/2006	5/22/2009
Inactive	Eissa, Charles Anthony	628384	Agent - Life	10/10/2006	5/22/2009