DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conley, Acacia N	DOIID	840759	NAIC NPN	17268555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/1/2014	1/1/2018
Inactive	Resident	Agent	Life	8/28/2014	1/1/2018
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/1/2014	1/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2014	1/1/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/7/2016	5/3/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/7/2016	5/3/2017
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	9/14/2015	10/29/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/7/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/7/2016	11/4/2016

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	10/1/2014	1/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/1/2014	1/1/2018
Inactive	Worth Insurance Group INC	398245	Agent - Life	10/1/2014	1/1/2018
Inactive	Worth Insurance Group INC	398245	Agent - Health	10/1/2014	1/1/2018