DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Ann Melissa	DOIID	728386	NAIC NPN	15772754

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/30/2012	3/31/2021
Inactive	Resident	Agent	Life	12/16/2011	3/31/2021
Inactive	Resident	Apprentice Adjuster	Not Applicable	3/23/2015	3/22/2016
Denied	Resident	Public Adjuster	Property & Casualty
* 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	ACE American Insurance Company	300625	Agent - Health	10/13/2017	3/31/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	7/12/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	7/12/2013
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	5/30/2012	12/31/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	5/30/2012	12/31/2012
Inactive	American Income Life Insurance Company	300256	Agent - Life	12/27/2011	7/19/2012
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	11/23/2015	12/14/2016
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	11/23/2015	12/14/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/3/2015	3/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/3/2015	3/31/2021
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/20/2016	3/31/2021
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/1/2017	3/31/2021
Inactive	Companion Life Insurance Company	300191	Agent - Life	11/1/2017	3/31/2021
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	8/1/2016	1/5/2017
Inactive	Federal Insurance Company	301144	Agent - Health	10/13/2017	3/31/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/8/2015	10/26/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/8/2015	10/26/2017
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	8/12/2015	9/15/2016
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/13/2018	11/2/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Life	7/13/2018	11/2/2018
Inactive	National Health Insurance Company	300554	Agent - Health	5/12/2016	1/18/2019
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/19/2015	9/5/2017
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/19/2015	9/5/2017
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/19/2015	9/5/2017
Inactive	Primerica Life Insurance Company	300970	Agent - Life	12/16/2011	1/24/2012
Inactive	Senior Life Insurance Company	558267	Agent - Life	1/15/2020	1/13/2021
Inactive	Time Insurance Company	300683	Agent - Health	11/5/2015	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	11/5/2015	11/23/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	4/29/2013	11/11/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/29/2013	11/11/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/29/2013	3/20/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/29/2013	3/20/2019
Inactive	United Home Life Insurance Company	300421	Agent - Life	9/10/2015	12/29/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/8/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/8/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/23/2015	2/14/2017

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	11/3/2015	3/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/3/2015	3/31/2021