DEPARTMENT OF INSURANCE

Affiliations

Name	Boone Ii, Otis Ronald Hurst	DOIID	767140	NAIC NPN	16136985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/19/2018	8/31/2020
Inactive	Non Resident	Agent	Casualty	9/19/2018	8/31/2020
Inactive	Non Resident	Agent	Life	10/1/2014	4/7/2017
Inactive	Non Resident	Agent	Health	10/1/2014	4/7/2017
* 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	10/25/2012	7/1/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/25/2012	7/1/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/25/2012	7/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2012	7/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2012	7/1/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/19/2019	2/21/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/19/2019	2/21/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	7/1/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2012	7/1/2013
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/3/2018	4/17/2020
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/3/2018	4/17/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	7/1/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/8/2011	7/1/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/8/2011	7/1/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/8/2011	7/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/8/2011	7/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/8/2011	7/1/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/8/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/8/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/16/2014	10/6/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/16/2014	10/6/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/27/2012	7/1/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	10/27/2012	7/1/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/5/2014	3/15/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/5/2014	3/15/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/19/2019	2/21/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/19/2019	2/21/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/19/2019	2/21/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/19/2019	2/21/2020
Inactive	Time Insurance Company	300683	Agent - Health	2/20/2013	7/1/2013
Inactive	Time Insurance Company	300683	Agent - Life	2/20/2013	7/1/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	8/19/2019	2/21/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	8/19/2019	2/21/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	8/19/2019	2/21/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	8/19/2019	2/21/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/5/2014	3/15/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/5/2014	3/15/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/27/2012	7/1/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/27/2012	7/1/2013

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 - Health	10/3/2012	7/1/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/3/2012	7/1/2013