DEPARTMENT OF INSURANCE

Affiliations

Name	Puckett, Roger Wood	DOIID	329521	NAIC NPN	7176091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	11/21/1988	1/1/2009
Inactive	Resident	Agent	Health Maintenance Organization	6/10/1988	3/1/2001
Inactive	Resident	Agent	Property	8/15/2000	6/5/2001
Inactive	Resident	Agent	Life	11/21/1988	1/1/2009
Inactive	Resident	Agent	General Lines	11/21/1988	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	6/5/2001
* 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	AF&L Insurance Company	301582	Agent - Health	5/7/2001	12/1/2006
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/2/1993	12/31/1998
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/2/1993	12/31/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/8/1999	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/8/1999	11/20/2007
Inactive	American General Life Insurance Company	301585	Agent - Health	9/3/2002	3/26/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	6/11/2001	3/26/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	7/31/2001	5/28/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	7/31/2001	5/28/2002
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	10/5/2001	2/4/2003
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	2/3/1999	6/30/2005
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	2/3/1999	6/30/2005
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	6/10/1988	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/1999	1/1/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/1999	1/1/2009
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	9/19/2001	7/12/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/19/2001	7/12/2006
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/19/1991	5/12/2000
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/19/1991	5/12/2000
Inactive	Continental Casualty Company	301019	Agent - Health	12/30/1996	10/29/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/21/2005	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/21/2005	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/16/1997	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	2/28/1989	6/29/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	2/28/1989	6/29/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	2/28/1989	6/29/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	2/28/1989	6/29/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	2/28/1989	6/29/2000
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/2006	1/1/2009
Inactive	Humana Insurance Company	301104	Agent - Life	9/25/2006	1/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/25/2006	1/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/25/2006	1/1/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/25/2006	1/1/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/25/2006	1/1/2009
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/8/1999	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/8/1999	8/2/2002
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	2/19/1991	3/31/1997
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	2/19/1991	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	8/28/1997	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	8/28/1997	3/31/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Life	3/1/2001	7/28/2003
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/13/1993	10/18/2005
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	6/11/2001	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	6/11/2001	3/31/2003
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	5/26/1999	3/11/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	7/6/1998	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	7/6/1998	1/2/2003
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	8/27/1992	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Security Life Insurance Company of America	300936	Agent - Health	8/7/2001	12/18/2002
Inactive	Security Life Insurance Company of America	300936	Agent - Life	8/7/2001	12/18/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/4/2000	1/1/2009
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	12/4/2000	1/1/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	8/18/1999	5/12/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	8/18/1999	5/12/2000
Inactive	Travelers Commercial Casualty Company	301695	Agent - General Lines	8/18/1999	5/12/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	2/28/1989	6/29/2000
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	9/20/1999	9/27/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	9/20/1999	9/27/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/11/1996	10/17/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/11/1996	10/17/2005
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	6/2/1993	8/29/2003
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	6/2/1993	8/29/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/30/2001	11/30/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - General Lines	7/1/1993	8/15/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Property	8/15/2000	6/5/2001
Inactive	Acordia of Louisville Inc.	401252	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/24/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/24/1999	6/23/2008
Inactive	Charles Taylor TPA, LLC	401233	Agent - General Lines	11/21/1988	8/15/2000
Inactive	Charles Taylor TPA, LLC	401233	Agent - Life	11/21/1988	1/19/2007
Inactive	Charles Taylor TPA, LLC	401233	Agent - Health	11/21/1988	1/19/2007
Inactive	Charles Taylor TPA, LLC	401233	Agent - Property	8/15/2000	6/5/2001
Inactive	Charles Taylor TPA, LLC	401233	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008	1/1/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008	1/1/2009
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	7/15/1996	1/1/2009
Inactive	Medlink Inc	400721	Agent - Health	7/15/1996	1/1/2009
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	1/1/2009
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	1/1/2009