DEPARTMENT OF INSURANCE

Affiliations

Name	Biss, Douglas Sydney	DOIID	648719	NAIC NPN	568004

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/9/2012	8/31/2015
Inactive	Non Resident	Agent	Life	4/16/2007	8/31/2009
* 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 Life Insurance Company	301140	Agent - Health	5/18/2009	7/16/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/18/2009	7/16/2009
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	6/17/2008	9/24/2008
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	6/17/2008	9/24/2008
Inactive	Conseco Insurance Company	301202	Agent - Health	10/13/2008	8/31/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	10/13/2008	8/31/2009
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/16/2008	8/31/2009
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/28/2008	8/31/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/23/2007	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/23/2007	11/10/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2008	7/28/2009
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2008	7/28/2009
Inactive	Humana Insurance Company	301104	Agent - Life	11/11/2008	7/28/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2008	7/28/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/11/2008	7/28/2009
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/30/2008	8/11/2009
Inactive	Time Insurance Company	300683	Agent - Health	3/2/2008	10/13/2008
Inactive	Time Insurance Company	300683	Agent - Life	3/2/2008	10/13/2008
Inactive	United World Life Insurance Company	300532	Agent - Health	10/16/2008	6/16/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/16/2008	6/16/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/16/2008	6/16/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/9/2012	1/4/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/9/2012	1/4/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	10/15/2008	8/31/2009
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/15/2008	8/31/2009