DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Portsmouth Ins Agency Inc	DOIID	761304	NAIC NPN	2516442

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/18/2011	3/31/2013
Inactive	Non Resident	Agent	Health	8/18/2011	3/31/2013
Inactive	Non Resident	Agent	Property	8/18/2011	3/31/2013
Inactive	Non Resident	Agent	Life	8/18/2011	3/31/2013
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/1/2012	3/31/2013
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/1/2012	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2012	3/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2012	3/31/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Duzan, Gary Lee	569166	Agent - Health	8/18/2011	3/31/2013
Inactive	Duzan, Gary Lee	569166	Agent - Life	8/18/2011	3/31/2013
Inactive	Herrmann, Charles W	760121	Agent - Casualty	8/18/2011	3/31/2013
Inactive	Herrmann, Charles W	760121	Agent - Health	8/18/2011	3/31/2013
Inactive	Herrmann, Charles W	760121	Agent - Life	8/18/2011	3/31/2013
Inactive	Herrmann, Charles W	760121	Agent - Property	8/18/2011	3/31/2013