DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Antonio	DOIID	829859	NAIC NPN	17141783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/9/2014	7/1/2019
Inactive	Resident	Agent	Life	1/7/2014	7/1/2019
* 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 Life Insurance Company	301209	Agent - Health	11/21/2014	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/21/2014	11/2/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/3/2014	4/13/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/3/2014	4/13/2015
Inactive	Family Life Insurance Company	300356	Agent - Health	10/15/2014	8/19/2016
Inactive	Family Life Insurance Company	300356	Agent - Life	10/15/2014	8/19/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/17/2014	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/17/2014	12/14/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/3/2014	4/13/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/3/2014	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	2/3/2014	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/3/2014	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/3/2014	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/3/2014	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/3/2014	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/3/2014	4/13/2015
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	10/15/2014	9/20/2016
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	10/15/2014	9/20/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	11/18/2017	8/8/2018
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/25/2014	10/19/2017
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	7/28/2014	4/19/2017
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	3/11/2014	7/22/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	3/11/2014	7/22/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/27/2017	7/1/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/27/2017	7/1/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/27/2017	7/1/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/27/2017	7/1/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	5/28/2018	4/22/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

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	11/21/2014	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/21/2014	11/2/2016