DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cox, Spencer Dolan	DOIID	766390	NAIC NPN	15989506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/11/2011	5/31/2013
Inactive	Non Resident	Agent	Health	10/11/2011	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	Anthem Life Insurance Company	301209	Agent - Health	10/19/2011	5/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/19/2011	5/31/2013
Inactive	Forethought Life Insurance Company	301407	Agent - Health	11/29/2011	5/31/2013
Inactive	Forethought Life Insurance Company	301407	Agent - Life	11/29/2011	5/31/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/10/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/10/2011	12/26/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/17/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/17/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/17/2011	12/26/2012

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	10/19/2011	5/31/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/19/2011	5/31/2013