DEPARTMENT OF INSURANCE

Affiliations

Name	S&T-Evergreen Insurance LLC	DOIID	659442	NAIC NPN	7369607

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/13/2008	1/17/2018
Inactive	Non Resident	Agent	Health	11/13/2008	1/17/2018
Inactive	Non Resident	Agent	Casualty	9/1/2007	1/17/2018
Inactive	Non Resident	Agent	Property	9/1/2007	1/17/2018
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/13/2010	4/12/2014
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/13/2010	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/13/2010	4/16/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/13/2010	4/16/2014
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	10/1/2012	1/17/2018
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	10/1/2012	1/17/2018
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	10/1/2012	5/6/2013
Inactive	Bedivere Insurance Company	300710	Agent - Property	10/1/2012	5/6/2013
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	7/28/2014	1/17/2018
Inactive	Cincinnati Insurance Company	301298	Agent - Property	7/28/2014	1/17/2018
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/15/2015	8/21/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/15/2015	8/21/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/11/2008	5/28/2013
Inactive	Humana Insurance Company	301104	Agent - Health	12/11/2008	5/28/2013
Inactive	Humana Insurance Company	301104	Agent - Life	12/11/2008	5/28/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/11/2008	5/28/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/11/2008	5/28/2013
Inactive	Lexon Insurance Company	300352	Agent - Casualty	6/4/2015	1/17/2018
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	11/21/2017	1/17/2018
Inactive	Meridian Security Insurance Company	300423	Agent - Property	11/21/2017	1/17/2018
Inactive	Milbank Insurance Company	925185	Agent - Casualty	11/21/2017	1/17/2018
Inactive	Milbank Insurance Company	925185	Agent - Property	11/21/2017	1/17/2018
Inactive	Rockwood Casualty Insurance Company	585116	Agent - Casualty	7/10/2008	1/2/2018
Inactive	Rockwood Casualty Insurance Company	585116	Agent - Property	7/10/2008	1/2/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	11/21/2017	1/17/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	11/21/2017	1/17/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	11/21/2017	1/17/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	11/21/2017	1/17/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ball, Kathleen L	563671	Agent - Casualty	9/1/2007	8/18/2009
Inactive	Ball, Kathleen L	563671	Agent - Property	9/1/2007	8/18/2009
Inactive	Champe, David W	692145	Agent - Health	11/13/2008	1/17/2018
Inactive	Champe, David W	692145	Agent - Life	11/13/2008	1/17/2018
Inactive	Imler, Joseph R	659505	Agent - Casualty	8/31/2009	1/17/2018
Inactive	Imler, Joseph R	659505	Agent - Property	8/31/2009	1/17/2018
Inactive	Snyder, Dale B	683199	Agent - Casualty	11/21/2017	1/17/2018
Inactive	Snyder, Dale B	683199	Agent - Property	11/21/2017	1/17/2018