DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Dale H	DOIID	329698	NAIC NPN	1811814

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Administrator	Not Applicable
Inactive	Resident	Agent	Property	8/15/2000	4/1/2019
Inactive	Resident	Agent	Health	7/2/1992	4/1/2019
Inactive	Resident	Agent	Life	7/2/1992	4/1/2019
Inactive	Resident	Agent	Prepaid Dental Plan	7/17/2000	3/1/2001
Inactive	Resident	Agent	Variable Life and Variable Annuities	3/1/2004	4/1/2019
Inactive	Resident	Agent	General Lines	8/16/1989	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2019
Inactive	Resident	Agent	Health Maintenance Organization	3/16/1993	3/1/2001
Inactive	Resident	Surplus Lines Broker	Not Applicable	10/1/2007	10/22/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	5/18/2010	7/5/2018
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	5/18/2010	7/5/2018
Inactive	AIG Assurance Company	300897	Agent - Casualty	1/10/2007	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	1/10/2007	10/2/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/7/2005	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/7/2005	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	7/7/2005	2/22/2016
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	3/17/1997	6/29/1998
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	5/10/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	5/10/2016	3/31/2018
Inactive	American Contractors Indemnity Company	536843	Agent - Casualty	5/25/2007	7/5/2011
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	1/2/2002
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	1/2/2002
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/18/2000	4/6/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/18/2000	4/6/2015
Inactive	American General Life Insurance Company	301585	Agent - Health	9/3/2002	12/20/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	5/10/2001	12/20/2013
Inactive	American Home Assurance Company	300246	Agent - Casualty	8/15/2000	6/23/2004
Inactive	American Home Assurance Company	300246	Agent - General Lines	12/31/1998	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2000	6/23/2004
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - General Lines	12/5/1991	7/28/1998
Inactive	American Motorists Insurance Company	301212	Agent - General Lines	12/5/1991	7/29/1998
Inactive	American National Insurance Company	301861	Agent - Health	10/2/1995	4/1/2019
Inactive	American National Insurance Company	301861	Agent - Life	10/2/1995	4/1/2019
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	1/2/2002
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	1/2/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/16/1993	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/4/1998	4/1/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/4/1998	4/1/2019
Inactive	Assurance Company of America	300432	Agent - Casualty	3/4/2002	1/15/2014
Inactive	Assurance Company of America	300432	Agent - General Lines	9/28/1994	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	3/4/2002	1/15/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Health	10/7/2004	11/9/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	10/7/2004	11/9/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	8/16/1989	3/31/1996
Inactive	Bankers Life Insurance Company	301784	Agent - Health	7/30/2003	12/1/2004
Inactive	Bankers Life Insurance Company	301784	Agent - Life	7/30/2003	12/1/2004
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	10/19/2001	2/21/2003
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	10/19/2001	2/21/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/25/1999	4/12/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	4/1/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	4/1/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	4/1/2019
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	6/2/1997	1/4/1999
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	9/29/2008	12/28/2011
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	9/29/2008	12/28/2011
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	3/18/2002	1/31/2012
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	3/18/2002	1/31/2012
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	3/18/2002	1/31/2012
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	3/18/2002	1/31/2012
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	8/15/2000	1/31/2012
Inactive	Cincinnati Insurance Company	301298	Agent - General Lines	1/29/1990	8/15/2000
Inactive	Cincinnati Insurance Company	301298	Agent - Property	8/15/2000	1/31/2012
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	3/18/2002	1/31/2012
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/6/2012	4/3/2019
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	1/10/2002	4/1/2019
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	1/10/2002	4/1/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/17/2016	7/14/2017
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	4/27/1993	4/27/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	4/27/1993	4/27/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/4/2010	4/1/2019
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	3/28/1998	5/18/1998
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/4/2010	4/1/2019
Inactive	Continental Casualty Company	301019	Agent - General Lines	3/17/1997	6/29/1998
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	11/9/2000	12/23/2011
Inactive	Continental Insurance Company (The)	301242	Agent - Property	11/9/2000	12/23/2011
Inactive	Contractors Bonding and Insurance Company	300184	Agent - Casualty	3/4/2016	3/9/2018
Inactive	Contractors Bonding and Insurance Company	300184	Agent - Property	3/4/2016	3/9/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/14/2017
Inactive	DentiCare, Inc.	300655	Agent - Health	3/1/2001	11/1/2005
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	7/17/2000	3/1/2001
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	1/14/2016	2/14/2018
Inactive	Erie Insurance Company	300230	Agent - Casualty	1/14/2016	2/14/2018
Inactive	Erie Insurance Company	300230	Agent - Property	1/14/2016	2/14/2018
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	1/14/2016	2/14/2018
Inactive	Erie Insurance Company of New York	789916	Agent - Property	1/14/2016	2/14/2018
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	1/14/2016	2/14/2018
Inactive	Erie Insurance Exchange	300789	Agent - Property	1/14/2016	2/14/2018
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	1/14/2016	2/14/2018
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	1/14/2016	2/14/2018
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	7/18/2007	8/17/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	7/18/2007	8/17/2012
Inactive	Farmington Casualty Company	301137	Agent - General Lines	1/16/1990	3/31/1996
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	10/10/1995	10/18/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/10/1995	10/18/1999
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/20/2003	11/8/2006
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/20/2003	11/8/2006
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	1/10/2002	4/1/2019
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	1/10/2002	4/1/2019
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/21/1994	12/20/2006
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/4/2010	4/1/2019
Inactive	First National Insurance Company of America	301690	Agent - General Lines	8/27/1992	7/1/1998
Inactive	First National Insurance Company of America	301690	Agent - Property	8/4/2010	4/1/2019
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	1/14/2016	2/14/2018
Inactive	Flagship City Insurance Company	789965	Agent - Property	1/14/2016	2/14/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/2/2004	4/1/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/2/2004	4/1/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/27/2012	8/1/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/27/2012	8/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/27/2012	8/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/27/2012	8/1/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/4/2010	4/1/2019
Inactive	General Insurance Company of America	300261	Agent - General Lines	8/27/1992	7/1/1998
Inactive	General Insurance Company of America	300261	Agent - Property	8/4/2010	4/1/2019
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/11/2008	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/11/2008	1/7/2014
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2000	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	2/28/2000	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/16/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/16/2005	12/13/2012
Inactive	Granite State Insurance Company	300818	Agent - Casualty	11/20/2002	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	11/20/2002	10/2/2010
Inactive	Great American Insurance Company	301586	Agent - Casualty	6/25/2007	8/25/2017
Inactive	Great American Insurance Company	301586	Agent - Property	6/25/2007	8/25/2017
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	12/22/1992	7/13/1998
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	12/22/1992	7/13/1998
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	9/12/2011	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	9/12/2011	5/1/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/5/2003	11/11/2005
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/5/2003	11/11/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/5/2003	11/11/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	3/17/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/5/2003	11/11/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	11/11/2014	8/15/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	3/17/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	11/11/2014	8/15/2017
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/5/2003	11/11/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	3/17/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/5/2003	11/11/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/5/2003	11/11/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	3/17/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/5/2003	11/11/2005
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/22/2015	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/22/2015	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/14/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/26/2000	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	4/11/2000	7/14/2017
Inactive	Humana Insurance Company	301104	Agent - Life	4/11/2000	7/14/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/30/2004	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/30/2004	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/22/2015	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/9/2010	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/9/2010	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/13/2001	12/15/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/13/2001	12/15/2003
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/10/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/10/2007	10/2/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/4/2010	4/1/2019
Inactive	Indiana Insurance Company	301909	Agent - General Lines	3/28/1998	5/18/1998
Inactive	Indiana Insurance Company	301909	Agent - Property	8/4/2010	4/1/2019
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	1/21/1992	9/1/1999
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/5/2003	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/5/2003	12/29/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/26/2009	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/26/2009	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/30/2009	4/2/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/30/2009	12/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/10/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/10/2014	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/1/2012	12/29/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/1/2012	12/29/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	2/1/2012	12/29/2014
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - General Lines	12/5/1991	7/29/1998
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	1/15/2014
Inactive	Maryland Casualty Company	301719	Agent - General Lines	2/28/2000	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	1/15/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/28/2012	11/14/2014
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	8/25/1999	4/12/2003
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	8/25/1999	4/12/2003
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/17/2014	1/22/2016
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	3/17/1997	6/29/1998
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	6/23/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	12/31/1998	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	6/23/2004
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	2/18/2004	5/13/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	5/24/2005	5/13/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Property	5/24/2005	5/13/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/18/2004	5/13/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/18/2004	5/13/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	3/1/2004	8/21/2006
Denied	Nationwide Life and Annuity Insurance Company	300714	Agent - Health
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/31/2005	5/13/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	2/18/2004	5/13/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	2/18/2004	5/13/2008
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012	4/1/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012	4/1/2019
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/18/2004	5/13/2008
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/18/2004	5/13/2008
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/4/2010	4/1/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	3/28/1998	5/18/1998
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/4/2010	4/1/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/11/2008	12/4/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2000	1/15/2014
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	2/28/2000	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	1/15/2014
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	10/9/1992	7/2/1998
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	5/10/2001	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	5/10/2001	3/31/2003
Inactive	Omni Indemnity Company	301456	Agent - Casualty	6/5/2003	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	6/5/2003	10/8/2009
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	12/4/1992	3/31/1997
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	12/4/1992	3/31/1997
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/4/2010	4/1/2019
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/4/2010	4/1/2019
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/4/2010	4/1/2019
Inactive	Peerless Insurance Company	301910	Agent - General Lines	3/28/1998	5/18/1998
Inactive	Peerless Insurance Company	301910	Agent - Property	8/4/2010	4/1/2019
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	1/1/2003	12/14/2006
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	1/10/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	1/10/2011
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/30/1993	12/15/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/30/1993	12/15/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/18/2016	4/1/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/18/2016	4/1/2019
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	4/25/2001	12/28/2011
Inactive	Progressive Max Insurance Company	301034	Agent - Property	4/25/2001	12/28/2011
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/25/2001	4/1/2019
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/25/2001	4/1/2019
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	4/25/2001	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	4/25/2001	12/28/2005
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	12/10/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/10/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/2/1995	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/2/1995	10/24/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/29/2007	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/29/2007	12/23/2014
Inactive	RLI Insurance Company	301217	Agent - Casualty	1/7/2011	3/9/2018
Inactive	RLI Insurance Company	301217	Agent - Property	1/7/2011	3/9/2018
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/11/2001	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/11/2001	9/20/2004
Inactive	Reliance Insurance Company	300785	Agent - General Lines	9/15/1997	7/20/1998
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	9/15/1997	7/20/1998
Inactive	Reliance National Insurance Company	301675	Agent - General Lines	9/15/1997	7/20/1998
Inactive	Reliance Surety Company	301224	Agent - General Lines	10/1/1997	7/20/1998
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/4/2010	4/1/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	8/27/1992	7/1/1998
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/4/2010	4/1/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/4/2010	4/1/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	8/27/1992	7/1/1998
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/4/2010	4/1/2019
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	1/9/2003
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	8/27/1992	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	1/9/2003
Inactive	SILAC Insurance Company	300535	Agent - Health	7/30/2001	12/16/2002
Inactive	SILAC Insurance Company	300535	Agent - Life	7/30/2001	12/16/2002
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/17/2005	11/11/2005
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/17/2005	11/11/2005
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	9/23/1992	3/6/1996
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	9/23/1992	3/6/1996
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	8/16/1989	3/31/1996
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/21/2009	4/1/2019
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/21/2009	4/1/2019
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	7/8/2005	4/1/2019
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	7/8/2005	4/1/2019
Inactive	Time Insurance Company	300683	Agent - Health	5/19/2015	3/1/2018
Inactive	Time Insurance Company	300683	Agent - Life	5/19/2015	3/1/2018
Inactive	Transamerica Assurance Company	300893	Agent - Health	5/6/1999	8/19/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	5/6/1999	8/19/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	8/14/2007
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	5/6/1999	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/6/1999	8/14/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/6/1999	8/14/2007
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	3/17/1997	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	3/17/1997	3/31/1998
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - General Lines	1/29/1991	3/31/1996
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	8/16/1989	3/31/1996
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	8/16/1989	11/2/1999
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	1/30/1991	3/31/1996
Inactive	Travelers Commercial Insurance Company	301506	Agent - General Lines	1/24/1991	3/31/1996
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	7/18/2007	8/17/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	7/18/2007	8/17/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	11/11/2014	8/16/2017
Inactive	Trumbull Insurance Company	300242	Agent - Property	11/11/2014	8/16/2017
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	6/5/2003	11/11/2005
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	3/17/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	6/5/2003	11/11/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	7/10/2001	7/12/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	7/10/2001	7/12/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	1/11/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	1/11/2015
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/18/2016	4/1/2019
Inactive	United Financial Casualty Company	301886	Agent - Property	5/18/2016	4/1/2019
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	9/15/1997	7/20/1998
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	3/5/1990	11/16/1999
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/5/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/5/1995	3/31/1997
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	3/17/1997	6/29/1998
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/17/2006	5/13/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/17/2006	5/13/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/1/2008	11/16/2011
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/30/2001	12/3/2007
Inactive	Westfield Insurance Company	301950	Agent - General Lines	10/9/1992	7/2/1998
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	10/9/1992	7/2/1998
Inactive		301729	Agent - General Lines	12/5/1991	7/29/1998
Inactive		300277	Agent - Health	11/15/1996	1/1/2007
Inactive		300277	Agent - Life	11/15/1996	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/12/1998	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/12/1998	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	4/1/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	4/1/2019
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	LocalEdge Insurance Agency, Inc.	515576	Agent - Property	7/20/2007	4/1/2019
Inactive	LocalEdge Insurance Agency, Inc.	515576	Agent - Casualty	7/20/2007	4/1/2019
Inactive	Medlink Inc	400721	Agent - Life	1/2/2008	4/1/2019
Inactive	Medlink Inc	400721	Agent - Health	1/2/2008	4/1/2019
Denied	MyHealthSavingsAcct., LLC	585279	Administrator - Not Applicable
Inactive	Peel & Holland Inc	398400	Agent - General Lines	7/2/1992	4/13/1998
Inactive	Peel & Holland Inc	398400	Agent - Life	7/2/1992	4/13/1998
Inactive	Peel & Holland Inc	398400	Agent - Health	7/2/1992	4/13/1998
Inactive	Peel & Holland Security Planning Inc.	398597	Agent - Life	1/26/1993	6/8/1998
Inactive	Peel & Holland Security Planning Inc.	398597	Agent - Health	1/26/1993	6/8/1998
Inactive	Rohrer And Assoc Inc	757992	Agent - Life	5/27/2015	4/1/2019
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003
Inactive	Willis Ins Inc	519840	Agent - Life	12/28/2005	3/31/2017
Inactive	Willis Ins Inc	519840	Agent - Health	12/28/2005	3/31/2017
Inactive	Willis Ins Inc	519840	Agent - Property	8/13/2001	3/31/2017
Inactive	Willis Ins Inc	519840	Agent - Casualty	8/13/2001	3/31/2017