DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Power Group Co LLC	DOIID	698137	NAIC NPN	9969570

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/11/2009	3/31/2017
Inactive	Non Resident	Agent	Health	2/11/2009	3/31/2017
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/30/2015	1/26/2016
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/30/2015	1/26/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/26/2014	4/14/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2014	4/14/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/26/2014	4/14/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/26/2014	4/14/2016
Inactive	Humana Insurance Company	301104	Agent - Health	2/26/2014	4/14/2016
Inactive	Humana Insurance Company	301104	Agent - Life	2/26/2014	4/14/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/26/2014	4/14/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/26/2014	4/14/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/26/2014	4/14/2016
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/26/2014	4/14/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/28/2011	12/28/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/28/2011	12/28/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/28/2011	12/28/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/28/2011	12/28/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	2/18/2009	2/1/2016
Inactive	Union Security Insurance Company	301844	Agent - Life	2/18/2009	2/1/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Avery, Mark Joseph	696875	Agent - Health	2/11/2009	3/31/2017
Inactive	Avery, Mark Joseph	696875	Agent - Life	2/11/2009	3/31/2017
Denied	Cullor, Chandler H	839898	Agent - Health
Denied	Cullor, Chandler H	839898	Agent - Life
Denied	Davis, Jennifer L	744066	Agent - Health
Denied	Davis, Jennifer L	744066	Agent - Life