DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, William Randolph	DOIID	747427	NAIC NPN	15963504

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/3/2011	6/30/2013
Inactive	Non Resident	Agent	Life	2/3/2011	6/30/2013
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	2/17/2011	6/30/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/8/2011	8/14/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/8/2011	8/14/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/17/2011	6/30/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/14/2011	6/30/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/17/2011	6/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	2/17/2011	6/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	2/17/2011	6/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/17/2011	6/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/17/2011	6/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/17/2011	6/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/17/2011	6/30/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	6/14/2012	6/24/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/3/2011	1/24/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/7/2011	6/30/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/1/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/1/2011	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MSIS, INC	594764	Agent - Life	4/4/2011	6/30/2013
Inactive	MSIS, INC	594764	Agent - Health	4/4/2011	6/30/2013