DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Namely Inc	DOIID	867124	NAIC NPN	17475412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/28/2015	3/31/2019
Inactive	Non Resident	Agent	Health	1/28/2015	3/31/2019
* 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	Guardian Life Insurance Company of America	301316	Agent - Health	6/5/2017	3/31/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/5/2017	3/31/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/5/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	8/5/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/5/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/5/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/5/2015	10/22/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/19/2015	3/31/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/19/2015	3/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/19/2015	3/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/19/2015	3/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Autuori, Gregory M	921395	Agent - Health	6/5/2017	3/31/2019
Inactive	Autuori, Gregory M	921395	Agent - Life	6/5/2017	3/31/2019
Inactive	Lahayne, Robert Russell	865529	Agent - Health	1/28/2015	5/26/2017
Inactive	Lahayne, Robert Russell	865529	Agent - Life	1/28/2015	5/26/2017