DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Longley, Raymond	DOIID	937912	NAIC NPN	18100104

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/22/2016	6/30/2019
Inactive	Non Resident	Agent	Life	11/22/2016	6/30/2019
* 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	AXIS Insurance Company	301290	Agent - Health	5/15/2019	6/30/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/6/2019	7/17/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/29/2016	7/18/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/29/2016	7/18/2019
Inactive	LifeShield National Insurance Company	737111	Agent - Health	3/20/2019	6/30/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/20/2018	6/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	3/4/2019	6/30/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/29/2016	7/18/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/29/2016	7/18/2019