DEPARTMENT OF INSURANCE

Affiliations

Name	Hallum, Annette Marie	DOIID	755509	NAIC NPN	16247365

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/29/2016	12/1/2018
Inactive	Resident	Agent	Life	4/5/2016	12/1/2018
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/21/2011	3/8/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/14/2011	3/8/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/22/2016	2/15/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/22/2016	2/15/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/1/2016	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/1/2016	12/13/2016
Inactive	Everly Life Insurance Company	561641	Agent - Life	4/21/2016	12/28/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	4/27/2016	12/1/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/27/2016	12/1/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/4/2016	2/16/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/4/2016	2/16/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/1/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/1/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/1/2016	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/1/2016	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	6/1/2016	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/1/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/1/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/1/2016	12/13/2016
Inactive	National Health Insurance Company	300554	Agent - Health	11/2/2016	12/1/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/24/2016	7/3/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/14/2016	12/1/2018
Inactive	Time Insurance Company	300683	Agent - Health	11/7/2016	12/1/2018
Inactive	Time Insurance Company	300683	Agent - Life	11/7/2016	12/1/2018

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	10/25/2016	12/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/25/2016	12/1/2018