DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lifeline Direct Ins Services Inc	DOIID	778547	NAIC NPN	16359736

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/2/2012	3/31/2016
Inactive	Non Resident	Agent	Health	9/25/2013	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	American General Life Insurance Company	301585	Agent - Life	6/12/2012	12/20/2013
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/7/2013	3/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/7/2013	3/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/7/2013	3/31/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	8/7/2012	7/22/2014
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/20/2012	3/31/2016
Inactive	Family Life Insurance Company	300356	Agent - Health	8/20/2014	3/31/2016
Inactive	Family Life Insurance Company	300356	Agent - Life	8/20/2014	3/31/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/2/2012	3/31/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/24/2012	3/31/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pine, Jesse Andrew	760862	Agent - Health	9/25/2013	3/31/2016
Inactive	Pine, Jesse Andrew	760862	Agent - Life	4/2/2012	3/31/2016