DEPARTMENT OF INSURANCE

Affiliations

Name	Lieder, Joshua A	DOIID	733039	NAIC NPN	9194709

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/23/2010	11/2/2015
Inactive	Non Resident	Agent	Life	7/23/2010	11/2/2015
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/24/2010	11/2/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/24/2010	11/2/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/24/2011	12/11/2015
Inactive	Continental American Insurance Company	301700	Agent - Health	6/30/2014	11/2/2015
Inactive	Continental American Insurance Company	301700	Agent - Life	6/30/2014	11/2/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2010	12/11/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/6/2011	12/26/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/11/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	12/11/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/30/2010	12/11/2015
Inactive	Humana Insurance Company	301104	Agent - Health	8/16/2010	12/11/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/16/2010	12/11/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2010	12/11/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/5/2010	12/11/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/11/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/22/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/22/2011	10/22/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/27/2011	11/3/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/27/2011	11/10/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/27/2011	11/10/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	11/10/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	8/30/2010	7/7/2015
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	8/30/2010	7/7/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/24/2010	11/2/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/24/2010	11/2/2015