DEPARTMENT OF INSURANCE

Affiliations

Name	Retirement Ins Specialists Agency LLC	DOIID	735077	NAIC NPN	15844686

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/23/2010	3/31/2016
Inactive	Non Resident	Agent	Life	8/23/2010	3/31/2016
Inactive	Non Resident	Agent	Personal Lines	8/23/2010	3/31/2016
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/25/2010	3/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/25/2010	3/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/25/2010	3/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/30/2013	5/1/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/19/2010	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	11/19/2010	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/30/2013	5/1/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/8/2011	3/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/30/2013	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/30/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	12/30/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	12/30/2013	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/30/2013	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/30/2013	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/30/2013	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/30/2013	5/1/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/3/2010	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	1/31/2013	12/23/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/11/2010	11/4/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/3/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/3/2010	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/11/2010	3/31/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/19/2011	3/31/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	3/31/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heistand-Bro, Mary Lorene	543557	Agent - Health	8/23/2010	3/31/2016
Inactive	Heistand-Bro, Mary Lorene	543557	Agent - Life	8/23/2010	3/31/2016
Inactive	Heistand-Bro, Mary Lorene	543557	Agent - Personal Lines	8/23/2010	3/31/2016