DEPARTMENT OF INSURANCE

Affiliations

Name	Qualls, Cyndi Marie	DOIID	821291	NAIC NPN	17044326

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/20/2013	3/31/2017
Inactive	Non Resident	Agent	Property	5/8/2015	3/31/2017
Inactive	Non Resident	Agent	Casualty	5/8/2015	3/31/2017
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	5/11/2015	12/18/2015
Inactive	21st Century North America Insurance Company	300884	Agent - Property	5/11/2015	12/18/2015
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/10/2014	3/31/2017
Inactive	Aetna Health Insurance Company	301583	Agent - Health	10/10/2014	3/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/10/2014	3/31/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/8/2014	3/31/2017
Inactive	Esurance Insurance Company	301072	Agent - Casualty	5/12/2015	7/7/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	5/12/2015	7/7/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/10/2014	3/31/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	3/23/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	3/23/2016
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	9/22/2014	2/10/2016
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	5/13/2015	3/31/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/21/2015	3/31/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/21/2015	3/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/21/2015	3/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/21/2015	3/31/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/19/2014	4/16/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/19/2014	4/16/2015

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 - Health	11/8/2014	3/31/2017
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	12/21/2016	3/31/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/4/2016	3/31/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Property	5/12/2015	3/31/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Casualty	5/12/2015	3/31/2017