DEPARTMENT OF INSURANCE

Affiliations

Name	Green, David	DOIID	748379	NAIC NPN	8335326

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	2/22/2011	5/31/2013
Inactive	Non Resident	Agent	Health	2/22/2011	5/31/2013
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/30/2011	5/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/30/2011	5/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/30/2011	5/31/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/30/2012	5/31/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/30/2012	5/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/30/2011	5/31/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/30/2011	5/31/2013
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	3/4/2011	5/31/2013
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	3/4/2011	5/31/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/1/2011	5/31/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/1/2011	5/31/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	5/31/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/30/2011	5/31/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/12/2012	5/31/2013
Inactive	Humana Insurance Company	301104	Agent - Life	3/22/2011	5/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/22/2011	5/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/16/2012	5/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/14/2011	5/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/29/2011	5/31/2013
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	2/28/2011	9/17/2012
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	2/28/2011	9/17/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/14/2011	6/24/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/14/2011	6/24/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	4/26/2011	5/31/2013
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	4/26/2011	5/31/2013