DEPARTMENT OF INSURANCE

Affiliations

Name	Gaines, David E	DOIID	681175	NAIC NPN	2825120

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/22/2008	4/30/2012
Inactive	Non Resident	Agent	Life	5/22/2008	4/30/2012
* 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 Health Inc. (PA)	660717	Agent - Health	9/9/2009	4/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/9/2009	4/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/9/2009	4/30/2012
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/27/2008	12/1/2008
Inactive	Combined Insurance Company of America	301472	Agent - Life	5/27/2008	12/1/2008
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	5/8/2009	4/30/2012
Inactive	Conseco Insurance Company	301202	Agent - Health	10/10/2008	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	10/10/2008	10/1/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/14/2010	3/14/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/14/2010	3/14/2011
Inactive	Health Net Life Insurance Company	620945	Agent - Health	12/18/2008	11/11/2009
Inactive	Health Net Life Insurance Company	620945	Agent - Life	12/18/2008	11/11/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/2/2009	4/30/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/2/2009	4/30/2012
Inactive	Humana Insurance Company	301104	Agent - Life	9/2/2009	4/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/28/2010	4/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/28/2010	4/30/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/2/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/2/2009	2/23/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/30/2009	4/30/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	1/4/2010	4/25/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/16/2008	12/17/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	10/16/2008	4/30/2012
Inactive	Sterling Life Insurance Company	301947	Agent - Health	5/27/2008	8/14/2009
Inactive	Sterling Life Insurance Company	301947	Agent - Life	5/27/2008	1/21/2009
Inactive	United World Life Insurance Company	300532	Agent - Health	10/28/2008	9/18/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/30/2009	4/30/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/30/2009	4/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/16/2008	12/17/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/16/2008	4/30/2012
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/21/2010
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/21/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	10/13/2009	4/30/2012
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Life	10/13/2009	4/30/2012
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/15/2008	4/30/2012
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	10/15/2008	4/30/2012