DEPARTMENT OF INSURANCE

Affiliations

Name	Conway, Lamont Derwon	DOIID	801037	NAIC NPN	14162320

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/10/2013	1/31/2017
Inactive	Non Resident	Agent	Health	1/10/2013	1/31/2017
* 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	7/6/2015	9/1/2015
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/27/2015	1/31/2017
Inactive	Aetna Health Insurance Company	301583	Agent - Health	10/27/2015	1/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/27/2015	1/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/27/2015	1/31/2017
Inactive	Combined Insurance Company of America	301472	Agent - Health	8/8/2014	10/9/2015
Inactive	Combined Insurance Company of America	301472	Agent - Life	8/8/2014	10/9/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/2/2014	1/17/2017
Inactive	Continental American Insurance Company	301700	Agent - Health	7/1/2015	8/26/2015
Inactive	Continental American Insurance Company	301700	Agent - Life	7/1/2015	8/26/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/27/2015	1/31/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	10/27/2015	1/31/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/2/2014	1/17/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	3/21/2013	1/20/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/21/2013	1/20/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/8/2014	2/2/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/8/2014	2/2/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2014	1/17/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/2/2014	1/17/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/3/2014	1/17/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/3/2014	1/17/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/2/2014	1/17/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/2/2014	1/17/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/30/2013	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/30/2013	11/3/2015
Inactive	Time Insurance Company	300683	Agent - Health	1/8/2014	1/31/2017
Inactive	Time Insurance Company	300683	Agent - Life	1/8/2014	1/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	3/21/2013	12/9/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	3/21/2013	12/9/2015