DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Applegate, Gregory Bret	DOIID	735540	NAIC NPN	16679869

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/26/2010	6/15/2012
Inactive	Non Resident	Agent	Health	8/26/2010	6/15/2012
* 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	9/20/2010	6/15/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/20/2010	6/15/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/20/2010	6/15/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/30/2010	6/15/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/30/2010	6/15/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	9/28/2010	6/15/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	9/28/2010	6/15/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/26/2011	6/15/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/3/2010	6/15/2012
Inactive	Humana Insurance Company	301104	Agent - Life	9/3/2010	6/15/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/12/2010	11/4/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/14/2010	9/20/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/14/2010	9/20/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/12/2010	6/15/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/22/2011	6/15/2012

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	9/30/2010	6/15/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/30/2010	6/15/2012