DEPARTMENT OF INSURANCE

Affiliations

Name	Synergy Insurance Agency, Inc.	DOIID	694265	NAIC NPN	12352094

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	2/2/2010	6/4/2012
Inactive	Resident	Agent	Health	11/22/2008	3/31/2014
Inactive	Resident	Agent	Life	11/22/2008	3/31/2014
Inactive	Resident	Agent	Casualty	2/2/2010	6/4/2012
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/1/2009	3/31/2014
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/1/2009	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2009	3/31/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2009	3/31/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/3/2011	11/28/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/3/2011	11/28/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	2/23/2010	6/4/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	2/23/2010	6/4/2012
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	4/1/2011	3/31/2014
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	4/1/2011	3/31/2014
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	4/15/2010	5/16/2011
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	4/15/2010	1/12/2012
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	3/11/2010	6/4/2012
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	3/11/2010	6/4/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/12/2009	3/31/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/12/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/12/2009	7/2/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/18/2010	3/31/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/4/2010	6/4/2012
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/4/2010	6/4/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	3/31/2014
Inactive	Farmington Casualty Company	301137	Agent - Casualty	3/11/2010	6/4/2012
Inactive	Farmington Casualty Company	301137	Agent - Property	3/11/2010	6/4/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/18/2010	7/8/2011
Inactive	Forethought Life Insurance Company	301407	Agent - Health	5/5/2011	4/24/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	5/5/2011	4/24/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/3/2011	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/3/2011	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/29/2009	3/31/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/29/2009	3/31/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/12/2009	3/31/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/12/2009	3/31/2014
Inactive	Humana Insurance Company	301104	Agent - Life	10/12/2009	3/31/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/12/2009	3/31/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/12/2009	3/31/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/12/2009	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/12/2009	2/24/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	1/14/2009	9/13/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/7/2009	12/26/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	1/14/2009	12/13/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	1/14/2009	12/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	1/14/2009	9/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	1/14/2009	9/13/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/21/2010	11/4/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	1/14/2009	3/31/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	1/14/2009	3/31/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/26/2010	6/4/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/26/2010	6/4/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/26/2010	6/4/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/26/2010	6/4/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/23/2010	6/4/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	2/23/2010	6/4/2012
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/1/2011	3/31/2014
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/1/2011	3/31/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	2/23/2010	6/4/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Property	2/23/2010	6/4/2012
Inactive	Time Insurance Company	300683	Agent - Health	1/23/2009	12/14/2010
Inactive	Time Insurance Company	300683	Agent - Life	1/23/2009	12/14/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/15/2010	3/12/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	3/11/2010	6/4/2012
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	3/11/2010	6/4/2012
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	3/11/2010	6/4/2012
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	3/11/2010	6/4/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	2/23/2010	6/4/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	2/23/2010	6/4/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	2/23/2010	6/4/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	2/23/2010	6/4/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/23/2010	6/4/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	2/23/2010	6/4/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/23/2010	6/4/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/23/2010	6/4/2012
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	3/11/2010	6/4/2012
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	3/11/2010	6/4/2012
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	3/11/2010	6/4/2012
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	3/11/2010	6/4/2012
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	3/5/2010	6/4/2012
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	3/9/2010	6/4/2012
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/26/2010	6/4/2012
Inactive	United Financial Casualty Company	301886	Agent - Property	3/26/2010	6/4/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/7/2009	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/7/2009	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/17/2012	4/14/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/19/2009	5/31/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/19/2009	5/31/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/17/2012	4/14/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Abbe, Todd	706657	Agent - Health	6/19/2009	3/31/2014
Inactive	Abbe, Todd	706657	Agent - Life	6/19/2009	3/31/2014
Inactive	Donovan, James Eugene	652399	Agent - Health	8/3/2010	12/3/2010
Inactive	Donovan, James Eugene	652399	Agent - Life	8/3/2010	12/3/2010
Inactive	Ellis, Jeff L	665071	Agent - Health	11/21/2008	3/31/2014
Inactive	Ellis, Jeff L	665071	Agent - Life	11/21/2008	3/31/2014
Inactive	Ellis, Kaleb J	768087	Agent - Health	11/23/2011	3/31/2014
Inactive	Ellis, Kaleb J	768087	Agent - Life	11/23/2011	3/31/2014
Inactive	French, Seneca Y	679437	Agent - Health	5/11/2009	7/1/2011
Inactive	Greathouse, John Samuel	684423	Agent - Health	8/25/2009	2/1/2011
Inactive	Greathouse, John Samuel	684423	Agent - Life	8/25/2009	2/1/2011
Inactive	Holker, Robert Lorenzo	644625	Agent - Health	11/8/2010	11/30/2012
Inactive	Holker, Robert Lorenzo	644625	Agent - Life	11/8/2010	11/30/2012
Inactive	Johnson, Steve Maurice	694503	Agent - Health	5/8/2009	3/31/2014
Inactive	Johnson, Steve Maurice	694503	Agent - Life	5/8/2009	3/31/2014
Inactive	Sexton, Vicki L	660572	Agent - Casualty	2/2/2010	4/1/2012
Inactive	Sexton, Vicki L	660572	Agent - Property	2/2/2010	4/1/2012
Inactive	Smith, Todd William	714579	Agent - Health	11/30/2009	2/1/2011
Inactive	Smith, Todd William	714579	Agent - Life	11/30/2009	2/1/2011
Inactive	Spillman, Robert David	717357	Agent - Health	11/19/2009	2/1/2011
Inactive	Spillman, Robert David	717357	Agent - Life	11/19/2009	2/1/2011
Denied	Stokes, Philip Allen	714940	Agent - Health
Denied	Stokes, Philip Allen	714940	Agent - Life