DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Guy, Zachary Dylan	DOIID	721559	NAIC NPN	15643581

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/23/2010	4/1/2012
Inactive	Resident	Agent	Life	4/23/2010	4/1/2012
* 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	American General Life and Accident Insurance Company	301362	Agent - Health	4/23/2010	11/12/2010
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	4/23/2010	11/12/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/7/2011	4/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/7/2011	4/1/2012
Inactive	Forethought Life Insurance Company	301407	Agent - Health	3/18/2011	4/1/2012
Inactive	Forethought Life Insurance Company	301407	Agent - Life	3/18/2011	4/1/2012
Denied	Marquette National Life Insurance Company	300117	Agent - Health
Denied	Marquette National Life Insurance Company	300117	Agent - Life
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	10/21/2010	9/7/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	10/21/2010	9/7/2011
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	10/21/2010	9/7/2011
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	10/21/2010	9/7/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/21/2010	9/7/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	10/21/2010	9/7/2011
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Health	4/12/2011	4/1/2012
Inactive	Sterling Investors Life Insurance Company	301785	Agent - Life	4/12/2011	4/1/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/2/2011	4/1/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/2/2011	4/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/7/2011	4/1/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/7/2011	4/1/2012