DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Candice	DOIID	722812	NAIC NPN	15663320

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/11/2010	3/1/2019
Inactive	Resident	Agent	Health	3/11/2010	3/1/2019
* 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	Anthem Life Insurance Company	301209	Agent - Health	4/6/2010	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/6/2010	11/2/2016

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 - Health	12/11/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	11/2/2016
Inactive	J.J.B. Hilliard, W.L. Lyons, LLC	679616	Agent - Health	1/26/2015	11/2/2016
Inactive	J.J.B. Hilliard, W.L. Lyons, LLC	679616	Agent - Life	1/26/2015	11/2/2016
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	4/6/2010	11/2/2016
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	4/6/2010	11/2/2016