DEPARTMENT OF INSURANCE

Affiliations

Name	Puzin, Carl Anthony	DOIID	766149	NAIC NPN	16255037

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/8/2011	6/24/2016
Inactive	Non Resident	Agent	Life	10/8/2011	6/24/2016
* 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	11/11/2011	6/24/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/11/2011	6/24/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/11/2011	6/24/2016
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	11/12/2013	12/18/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	11/12/2013	12/18/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/24/2012	10/15/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/24/2012	10/15/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/6/2013	10/19/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/6/2013	10/19/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/20/2015	1/27/2016
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/6/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/6/2013	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/20/2015	1/27/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/23/2014	6/24/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	12/1/2015	9/12/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/20/2015	1/27/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/20/2015	1/27/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/20/2015	1/27/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/20/2015	1/27/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/20/2015	1/27/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/20/2015	1/27/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/20/2015	1/27/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/20/2015	1/27/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/21/2011	10/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/21/2011	10/13/2015
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	2/27/2015	6/24/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	1/15/2015	5/4/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	1/15/2015	5/4/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/5/2012	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	12/17/2013	7/22/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/14/2014	6/24/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/5/2012	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/5/2012	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/9/2015	1/26/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/9/2015	1/26/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/9/2015	1/26/2016

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	1/24/2012	6/24/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/24/2012	6/24/2016
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	4/6/2015	10/7/2015
Inactive	eHealthInsurance Services Inc.	514105	Agent - Life	4/6/2015	10/7/2015