DEPARTMENT OF INSURANCE

Affiliations

Name	Russ, Shirley	DOIID	722663	NAIC NPN	15660078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	2/25/2010	5/1/2015
Inactive	Resident	Agent	Health	2/24/2010	5/1/2015
* 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 Continental Insurance Company	643130	Agent - Health	10/25/2012	2/17/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	10/25/2012	2/17/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	9/29/2010	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	9/29/2010	10/25/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/10/2010	5/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/2010	5/1/2015
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/8/2010	5/8/2013
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/5/2010	1/12/2013
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	4/3/2012	12/26/2013
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	2/24/2010	9/21/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	2/25/2010	9/21/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	3/2/2010	9/21/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	3/10/2010	9/21/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/19/2011	4/13/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/25/2012	5/1/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/25/2012	5/1/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/17/2010	9/21/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/19/2011	4/13/2015
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/21/2012	12/13/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/17/2010	9/21/2010
Inactive	Forethought Life Insurance Company	301407	Agent - Health	1/6/2012	3/12/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/6/2012	3/12/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/31/2011	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/31/2011	12/17/2012
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/11/2010	5/1/2015
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/11/2010	5/1/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	4/13/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/19/2011	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	1/19/2011	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	1/19/2011	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/19/2011	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/19/2011	4/13/2015
Inactive	Independent Order of Foresters	300743	Agent - Life	5/24/2011	12/26/2013
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	5/21/2012	9/8/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/19/2011	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/19/2011	4/13/2015
Inactive	Medico Insurance Company	301559	Agent - Health	9/24/2010	12/19/2014
Inactive	Medico Insurance Company	301559	Agent - Life	9/24/2010	12/19/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/10/2010	11/5/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	9/27/2010	3/31/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	9/27/2010	3/31/2013
Inactive	SILAC Insurance Company	300535	Agent - Health	10/7/2010	5/1/2015
Inactive	SILAC Insurance Company	300535	Agent - Life	10/7/2010	5/1/2015
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/21/2011	11/30/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/17/2011	1/26/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/17/2011	1/26/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/17/2011	1/26/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/17/2011	1/26/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/4/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/4/2010	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/10/2010	4/10/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	4/10/2014
Inactive	Wysh Life and Health Insurance Company	779030	Agent - Health	10/8/2012	5/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	10/19/2010	5/1/2015
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	10/19/2010	5/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/10/2010	5/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/10/2010	5/1/2015