DEPARTMENT OF INSURANCE

Affiliations

Name	Stice, William Todd	DOIID	641684	NAIC NPN	8939460

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	10/18/2006	4/1/2013
Inactive	Resident	Agent	Life	10/17/2006	4/1/2013
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	9/8/2010	4/1/2013
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	9/8/2010	4/1/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/27/2008	6/10/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/27/2008	6/10/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/27/2008	6/10/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/25/2007	6/10/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/15/2006	6/10/2011
Inactive	Humana Insurance Company	301104	Agent - Health	11/15/2006	6/10/2011
Inactive	Humana Insurance Company	301104	Agent - Life	11/15/2006	6/10/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/15/2006	6/10/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/15/2006	6/10/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/1/2007	6/10/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/1/2007	6/10/2011
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	3/28/2007	10/16/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/23/2008	6/10/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/23/2008	6/10/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/8/2007	11/1/2010
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/17/2010	4/1/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/10/2007	10/26/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	2/8/2007	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	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	Humana MarketPOINT Inc.	398092	Agent - Health	4/2/2009	4/1/2013
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	5/14/2007	4/1/2013