DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Group Ins Inc Of Louisiana	DOIID	874851	NAIC NPN	4771275

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/13/2015	1/1/2017
Inactive	Non Resident	Agent	Life	4/13/2015	1/1/2017
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/16/2015	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/16/2015	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/16/2015	11/3/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jumonville, Paul Daniel	874666	Agent - Health	4/13/2015	10/31/2016
Inactive	Jumonville, Paul Daniel	874666	Agent - Life	4/13/2015	10/31/2016