DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Daub, Susan C	DOIID	836095	NAIC NPN	2322710

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/19/2014	7/31/2015
Inactive	Non Resident	Agent	Life	3/19/2014	7/31/2015
* 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	Colorado Bankers Life Insurance Company	301845	Agent - Health	9/24/2014	5/5/2015
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	9/24/2014	5/5/2015
Inactive	Companion Life Insurance Company	300191	Agent - Health	12/16/2014	7/31/2015
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	2/9/2015	6/9/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/12/2014	4/16/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/12/2014	4/16/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/8/2014	9/30/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/8/2014	9/30/2015
Inactive	National Health Insurance Company	300554	Agent - Health	11/11/2014	7/31/2015
Inactive	National Health Insurance Company	300554	Agent - Life	11/11/2014	7/31/2015
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	4/21/2014	6/12/2014
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	4/21/2014	6/12/2014
Inactive	Unified Life Insurance Company	543169	Agent - Health	1/12/2015	7/31/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/5/2015	10/4/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Simplified Health Solutions	839677	Agent - Life	4/30/2014	7/31/2015
Inactive	Simplified Health Solutions	839677	Agent - Health	4/30/2014	7/31/2015