DEPARTMENT OF INSURANCE

Affiliations

Name	Lightbourne, Jerry	DOIID	765032	NAIC NPN	15761725

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/28/2011	3/31/2016
Inactive	Non Resident	Agent	Health	9/28/2011	3/31/2016
* 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	5/23/2014	3/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/23/2014	3/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/23/2014	3/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/28/2014	3/4/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/28/2014	3/4/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/2/2014	3/31/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	6/2/2014	3/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/9/2014	9/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/9/2014	9/11/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/12/2014	3/31/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/22/2011	9/21/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/22/2011	9/21/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/9/2014	9/11/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/9/2014	9/11/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/9/2014	9/11/2014
Inactive	Humana Insurance Company	301104	Agent - Life	5/9/2014	9/11/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/9/2014	9/11/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/9/2014	9/11/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/9/2014	9/11/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/9/2014	9/11/2014
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	5/14/2014	7/23/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/6/2012	8/6/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/6/2012	8/6/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/16/2011	3/31/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/16/2011	8/12/2013

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 - Life	5/28/2014	3/4/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/28/2014	3/4/2015