DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mallam, Edward Duncan	DOIID	796745	NAIC NPN	16593482

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/5/2012	4/30/2017
Inactive	Non Resident	Agent	Life	11/5/2012	4/30/2017
* 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	AXA XL Insurance Company Americas	300979	Agent - Health	12/2/2015	4/30/2017
Inactive	American General Life Insurance Company	301585	Agent - Health	10/23/2015	4/30/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	10/23/2015	4/30/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/16/2015	4/30/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/16/2015	4/30/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/20/2015	4/8/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/20/2015	4/8/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/15/2015	5/3/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/15/2015	5/3/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	7/11/2016	4/10/2017
Inactive	Time Insurance Company	300683	Agent - Health	11/9/2012	6/16/2015
Inactive	Time Insurance Company	300683	Agent - Life	11/9/2012	6/16/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/16/2015	10/6/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/15/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/15/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/15/2015	2/14/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/16/2015	10/6/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	10/6/2015

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	10/16/2015	4/30/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/16/2015	4/30/2017