DEPARTMENT OF INSURANCE

Affiliations

Name	Long, George R	DOIID	850189	NAIC NPN	1774260

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	2/5/2016	10/31/2017
Inactive	Non Resident	Agent	Health	8/30/2014	10/31/2017
Inactive	Non Resident	Agent	Casualty	2/5/2016	10/31/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/12/2014	1/15/2016
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/12/2014	1/15/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/12/2014	1/15/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/19/2014	3/26/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/3/2014	3/1/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/12/2014	1/15/2016
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	3/17/2016	11/16/2016
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	3/17/2016	11/16/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/16/2015	11/2/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/13/2014	3/31/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/13/2014	3/31/2015
Inactive	Humana Insurance Company	301104	Agent - Health	9/13/2014	3/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/13/2014	3/31/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/27/2015	12/21/2016
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	3/17/2016	11/16/2016
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	3/17/2016	11/16/2016
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	3/17/2016	11/16/2016
Inactive	USAA General Indemnity Company	300131	Agent - Property	3/17/2016	11/16/2016
Inactive	United Services Automobile Association	300158	Agent - Casualty	3/17/2016	11/16/2016
Inactive	United Services Automobile Association	300158	Agent - Property	3/17/2016	11/16/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/16/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/16/2015	2/14/2017
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	10/16/2014	3/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	3/17/2016	10/4/2016
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	3/17/2016	10/4/2016
Inactive	Ttec Healthcare Solutions, Inc.	814587	Agent - Health	10/14/2015	10/12/2016