DEPARTMENT OF INSURANCE

Affiliations

Name	Ellison, Marcie	DOIID	828688	NAIC NPN	16529421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/3/2013	9/30/2018
Inactive	Non Resident	Agent	Casualty	8/22/2016	9/30/2018
Inactive	Non Resident	Agent	Property	8/22/2016	9/30/2018
Inactive	Non Resident	Agent	Life	12/3/2013	9/30/2018
* 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	Bristol West Insurance Company	301655	Agent - Casualty	9/14/2016	12/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/14/2016	12/1/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/3/2014	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/3/2014	12/5/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/9/2016	9/27/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/9/2016	9/27/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/20/2016	3/22/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	9/20/2016	3/22/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	9/20/2016	3/23/2017
Inactive	Grange Insurance Company	300234	Agent - Property	9/20/2016	3/23/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/20/2016	3/22/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/20/2016	3/22/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/20/2014	5/4/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/3/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/20/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/20/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/3/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/3/2014	5/4/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/3/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/3/2014	12/5/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/28/2014	6/19/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	4/28/2014	6/19/2014
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	9/20/2016	3/22/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	9/20/2016	3/22/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/28/2014	6/19/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/28/2014	6/19/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	694353	Agent - Property	9/12/2016	11/18/2016
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	9/12/2016	11/18/2016