DEPARTMENT OF INSURANCE

Affiliations

Name	Antin, Anthony Max	DOIID	707526	NAIC NPN	629652

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/30/2009	7/31/2018
Inactive	Non Resident	Agent	Life	6/30/2009	7/31/2018
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	6/9/2014	7/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/9/2014	7/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/9/2014	7/31/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/28/2016	6/8/2018
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/11/2009	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/11/2009	6/26/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	6/9/2014	7/31/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	6/9/2014	7/31/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/28/2016	6/8/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/11/2014	7/31/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	8/4/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/11/2009	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/11/2009	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/11/2009	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/11/2009	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/11/2009	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/11/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/11/2009	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/24/2010	5/20/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/24/2010	5/20/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affiliated Health Insurers Of Florida Inc	708910	Agent - Health	7/21/2009	3/31/2011
Inactive	Affiliated Health Insurers Of Florida Inc	708910	Agent - Life	7/21/2009	3/31/2011
Inactive	Gohealth LLC	691445	Agent - Health	5/31/2010	7/31/2018
Inactive	Gohealth LLC	691445	Agent - Life	5/31/2010	7/31/2018