DEPARTMENT OF INSURANCE

Affiliations

Name	One Source U.S.A., Inc	DOIID	671773	NAIC NPN	8423232

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/29/2008	2/28/2014
Inactive	Non Resident	Agent	Life	2/29/2008	2/28/2014
* 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	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	2/28/2014
Inactive	Everly Life Insurance Company	561641	Agent - Life	8/20/2009	2/28/2014
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	4/12/2010	12/22/2010
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	4/12/2010	12/22/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/26/2009	2/28/2014
Inactive	Humana Insurance Company	301104	Agent - Health	3/27/2008	2/28/2014
Inactive	Humana Insurance Company	301104	Agent - Life	3/27/2008	2/28/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/27/2008	2/28/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/27/2008	2/28/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/27/2008	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/27/2008	2/23/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	1/16/2009	2/28/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	2/28/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	2/28/2014
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	12/29/2009	12/7/2010
Inactive	National Western Life Insurance Company	301515	Agent - Health	3/8/2010	4/5/2011
Inactive	National Western Life Insurance Company	301515	Agent - Life	3/8/2010	4/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/19/2009	3/24/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/29/2012	2/28/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/29/2012	2/28/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Parker, Dalvin Kendall	383917	Agent - Health	2/29/2008	2/28/2014
Inactive	Parker, Dalvin Kendall	383917	Agent - Life	2/29/2008	2/28/2014