DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ferguson, Reva R	DOIID	792426	NAIC NPN	9081055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/23/2014	5/1/2016
Inactive	Resident	Agent	Life	9/23/2014	5/1/2016
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/30/2012	5/1/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/26/2012	5/1/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/26/2012	5/1/2014
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	9/19/2013	5/1/2014
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/13/2014	5/1/2016
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/13/2014	5/1/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/26/2012	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/26/2012	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2012	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/26/2012	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/26/2012	5/1/2014
Inactive	Medico Insurance Company	301559	Agent - Health	9/25/2013	5/1/2014
Inactive	Medico Insurance Company	301559	Agent - Life	9/25/2013	5/1/2014
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/4/2015	5/1/2016
Inactive	Oxford Life Insurance Company	301079	Agent - Health	10/2/2013	5/1/2014
Inactive	Oxford Life Insurance Company	301079	Agent - Life	10/2/2013	5/1/2014
Inactive	State Life Insurance Company	301497	Agent - Health	9/1/2013	6/16/2014
Inactive	State Life Insurance Company	301497	Agent - Life	9/1/2013	6/16/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/16/2012	2/6/2013

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	10/30/2012	5/1/2014