DEPARTMENT OF INSURANCE

Affiliations

Name	Ins Center For Excellence	DOIID	791411	NAIC NPN	16762857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/14/2012	3/31/2018
Inactive	Non Resident	Agent	Life	9/14/2012	3/31/2018
* 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	2/6/2014	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/6/2014	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/6/2014	3/31/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2014	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2014	12/5/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/18/2012	7/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/18/2012	7/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/10/2014	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/25/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/10/2014	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/10/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/10/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/10/2014	12/5/2014
Inactive	National Health Insurance Company	300554	Agent - Health	4/21/2015	3/31/2018
Inactive	National Health Insurance Company	300554	Agent - Life	4/21/2015	3/31/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	11/4/2014	3/31/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	11/4/2014	3/31/2018
Inactive	Time Insurance Company	300683	Agent - Health	3/13/2014	11/23/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/13/2014	11/23/2014
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/5/2015	4/6/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/5/2015	3/31/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cox, William Curtis	607089	Agent - Health	9/14/2012	3/31/2018
Inactive	Cox, William Curtis	607089	Agent - Life	9/14/2012	3/31/2018