DEPARTMENT OF INSURANCE

Affiliations

Name	Evanson, Terry L	DOIID	688903	NAIC NPN	238283

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/11/2008	1/31/2013
Inactive	Non Resident	Agent	Life	9/11/2008	1/31/2013
Inactive	Non Resident	Agent	Health	9/11/2008	1/31/2013
Inactive	Non Resident	Agent	Casualty	9/11/2008	1/31/2013
* 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	ACE American Insurance Company	300625	Agent - Casualty	6/23/2010	1/31/2013
Inactive	ACE American Insurance Company	300625	Agent - Property	6/23/2010	1/31/2013
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/23/2010	1/31/2013
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/23/2010	1/31/2013
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	12/31/2008	12/8/2011
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	2/22/2010	1/31/2013
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	12/3/2009	3/28/2012
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	12/3/2009	3/28/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/22/2010	1/31/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/22/2010	1/31/2013
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	2/20/2009	12/7/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	2/20/2009	12/7/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/14/2009	1/31/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/14/2009	1/31/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/14/2009	1/31/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/14/2009	1/31/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/3/2009	1/31/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/3/2009	1/31/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/3/2009	1/31/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/3/2009	1/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Moreton Ins Of Colorado LLC	637485	Agent - Casualty	1/6/2009	10/3/2012
Inactive	Moreton Ins Of Colorado LLC	637485	Agent - Health	7/23/2009	10/3/2012
Inactive	Moreton Ins Of Colorado LLC	637485	Agent - Life	7/23/2009	10/3/2012
Inactive	Moreton Ins Of Colorado LLC	637485	Agent - Property	4/20/2009	10/3/2012