DEPARTMENT OF INSURANCE

Affiliations

Name	AHM Financial Group LLC	DOIID	722051	NAIC NPN	15021440

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/1/2010	3/31/2016
Inactive	Non Resident	Agent	Property	2/1/2010	3/31/2016
Inactive	Non Resident	Agent	Casualty	2/1/2010	3/31/2016
Inactive	Non Resident	Agent	Life	2/1/2010	3/31/2016
Denied	Non Resident	Life & Health Consultant	Not Applicable
Denied	Non Resident	Property & Casualty Consultant	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	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	4/4/2012	3/31/2016
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	4/4/2012	3/31/2016
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	12/9/2013	4/20/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/9/2013	4/20/2015
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	4/4/2012	3/31/2016
Inactive	American Zurich Insurance Company	300592	Agent - Property	4/4/2012	3/31/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/30/2010	3/31/2016
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/30/2010	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/30/2010	3/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/30/2010	3/31/2016
Inactive	Arch Insurance Company	300688	Agent - Casualty	4/1/2010	12/8/2015
Inactive	Arch Insurance Company	300688	Agent - Property	4/1/2010	12/8/2015
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	10/22/2011	11/6/2013
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	10/22/2011	11/6/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/4/2012	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/4/2012	12/9/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/9/2013	5/1/2014
Inactive	Contractors Bonding and Insurance Company	300184	Agent - Casualty	10/18/2011	2/12/2014
Inactive	Contractors Bonding and Insurance Company	300184	Agent - Property	10/18/2011	2/12/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/9/2013	5/1/2014
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	11/15/2011	3/31/2016
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	11/15/2011	3/31/2016
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	1/19/2011	11/7/2013
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	1/19/2011	11/7/2013
Inactive	Federal Insurance Company	301144	Agent - Casualty	2/17/2010	3/13/2015
Inactive	Federal Insurance Company	301144	Agent - Property	2/17/2010	3/13/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/15/2011	3/31/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/15/2011	3/31/2016
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	4/17/2012	3/13/2015
Inactive	Great Northern Insurance Company	301107	Agent - Property	4/17/2012	3/13/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	12/3/2012	2/19/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	12/3/2012	2/19/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/9/2013	5/1/2014
Inactive	LM Insurance Corporation	301061	Agent - Casualty	11/15/2011	1/21/2014
Inactive	LM Insurance Corporation	301061	Agent - Property	11/15/2011	1/21/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	11/15/2011	3/31/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Property	11/15/2011	3/31/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/15/2011	1/21/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/15/2011	1/21/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/15/2011	1/21/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	11/15/2011	1/21/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	3/19/2012	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/19/2012	7/14/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/17/2013	3/3/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/17/2013	3/3/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/12/2012	3/31/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/12/2012	3/31/2016
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	4/17/2012	3/13/2015
Inactive	Pacific Indemnity Company	301610	Agent - Property	4/17/2012	3/13/2015
Inactive	Principal National Life Insurance Company	301926	Agent - Life	6/5/2012	3/31/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/9/2010	2/1/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	4/9/2010	2/1/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/9/2010	2/1/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/9/2010	2/1/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/22/2011	3/31/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/22/2011	3/31/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Health	7/1/2011	3/31/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Life	7/1/2011	3/31/2016
Inactive	RLI Insurance Company	301217	Agent - Casualty	10/18/2011	2/12/2014
Inactive	RLI Insurance Company	301217	Agent - Property	10/18/2011	2/12/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/4/2012	5/16/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/4/2012	5/16/2014
Inactive	Standard Insurance Company	300185	Agent - Health	12/24/2012	3/31/2016
Inactive	Standard Insurance Company	300185	Agent - Life	12/24/2012	3/31/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/4/2012	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/4/2012	12/9/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	9/24/2010	5/16/2014
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	9/24/2010	5/16/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	4/4/2012	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	4/4/2012	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/4/2012	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/4/2012	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/4/2012	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/4/2012	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/4/2012	5/16/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/4/2012	5/16/2014
Inactive	Trustmark Insurance Company	300317	Agent - Health	12/20/2013	3/31/2016
Inactive	Trustmark Insurance Company	300317	Agent - Life	12/20/2013	3/31/2016
Inactive	Union Security Insurance Company	301844	Agent - Health	1/19/2012	3/3/2014
Inactive	Union Security Insurance Company	301844	Agent - Life	1/19/2012	3/3/2014
Inactive	United Financial Casualty Company	301886	Agent - Casualty	4/9/2010	2/1/2014
Inactive	United Financial Casualty Company	301886	Agent - Property	4/9/2010	2/1/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/27/2013	5/31/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/27/2013	5/31/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/27/2013	5/31/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/27/2013	5/31/2016
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	4/17/2012	3/13/2015
Inactive	Vigilant Insurance Company	301143	Agent - Property	4/17/2012	3/13/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	11/15/2011	3/30/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	11/15/2011	3/30/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	11/15/2011	8/27/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	11/15/2011	8/27/2015
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	4/4/2012	3/31/2016
Inactive	Zurich American Insurance Company	301121	Agent - Property	4/4/2012	3/31/2016
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/4/2012	3/31/2016
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/4/2012	3/31/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Butler, Chase H	666994	Agent - Casualty	2/1/2010	3/31/2016
Inactive	Butler, Chase H	666994	Agent - Health	2/1/2010	3/31/2016
Inactive	Butler, Chase H	666994	Agent - Life	2/1/2010	3/31/2016
Inactive	Butler, Chase H	666994	Agent - Property	2/1/2010	3/31/2016
Denied	Butler, Chase H	666994	Life & Health Consultant - Not Applicable
Denied	Butler, Chase H	666994	Property & Casualty Consultant - Not Applicable
Inactive	Hall, Stephen J	345583	Agent - Casualty	8/6/2013	3/31/2016
Denied	Hall, Stephen J	345583	Agent - Health
Denied	Hall, Stephen J	345583	Agent - Life
Inactive	Hall, Stephen J	345583	Agent - Property	8/6/2013	3/31/2016