DEPARTMENT OF INSURANCE

Affiliations

Name	Worth III, John Lee	DOIID	658111	NAIC NPN	9406042

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/15/2013	2/1/2017
Inactive	Resident	Agent	Life	4/15/2013	2/1/2017
Inactive	Resident	Agent	Casualty	4/15/2013	2/1/2017
Inactive	Resident	Agent	Property	4/15/2013	2/1/2017
* 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	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	2/1/2009
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	2/1/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/8/2013	2/1/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/8/2013	2/1/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/31/2011	1/31/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	2/1/2009
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	2/1/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/31/2011	1/31/2013
Inactive	EMC National Life Company	300388	Agent - Health	5/22/2014	2/1/2017
Inactive	EMC National Life Company	300388	Agent - Life	5/22/2014	2/1/2017
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	2/1/2017
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	2/1/2017
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	5/20/2014	2/1/2017
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	5/20/2014	2/1/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	5/20/2014	2/1/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	5/20/2014	2/1/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/31/2011	1/31/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/26/2011	1/31/2013
Inactive	Humana Insurance Company	301104	Agent - Life	10/26/2011	1/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/31/2011	1/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/31/2011	1/31/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	2/1/2009
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	2/1/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/31/2011	1/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/31/2011	1/31/2013
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	9/26/2013	10/29/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	2/1/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	2/1/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	2/1/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	2/1/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/5/2014	5/23/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/5/2014	5/23/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	2/1/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	2/1/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	2/1/2009
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	2/1/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/25/2007	2/1/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/25/2007	2/1/2009
Inactive	SECURA Insurance Company	301656	Agent - Casualty	4/11/2011	1/31/2013
Inactive	SECURA Insurance Company	301656	Agent - Property	4/11/2011	1/31/2013
Inactive	SECURA Supreme Insurance Company	645533	Agent - Casualty	4/11/2011	1/31/2013
Inactive	SECURA Supreme Insurance Company	645533	Agent - Property	4/11/2011	1/31/2013
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	2/1/2017
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	2/1/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	2/1/2009
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	2/1/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/8/2013	2/1/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/8/2013	2/1/2017
Inactive	Worth Insurance Group INC	398245	Agent - Casualty	5/20/2014	2/1/2017
Inactive	Worth Insurance Group INC	398245	Agent - Property	5/20/2014	2/1/2017
Inactive	Worth Insurance Group INC	398245	Agent - Life	11/8/2013	2/1/2017
Inactive	Worth Insurance Group INC	398245	Agent - Health	10/4/2013	2/1/2017