DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellison Jr, Emmett Wayne	DOIID	894405	NAIC NPN	17742225

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/12/2015	10/1/2018
Inactive	Resident	Agent	Health	10/13/2015	10/1/2018
* 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	10/21/2015	10/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/21/2015	10/1/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/5/2015	11/4/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/5/2015	11/4/2016
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	11/4/2015	10/1/2018
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	11/4/2015	10/1/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/14/2015	11/10/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/14/2015	11/10/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	1/12/2016	10/3/2016
Inactive	National Health Insurance Company	300554	Agent - Health	8/31/2016	10/1/2018
Inactive	Time Insurance Company	300683	Agent - Health	11/9/2016	10/1/2018
Inactive	Time Insurance Company	300683	Agent - Life	11/9/2016	10/1/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/25/2016	12/12/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/14/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/14/2015	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	10/21/2015	10/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/21/2015	10/1/2018
Inactive	Eversurance, LLC	674377	Agent - Life	8/29/2016	10/1/2018
Inactive	Eversurance, LLC	674377	Agent - Health	8/29/2016	10/1/2018