DEPARTMENT OF INSURANCE

Affiliations

Name	Gibney, Mary Shirey	DOIID	330084	NAIC NPN	1463770

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	9/12/1996	3/1/2001
Inactive	Resident	Agent	Life	8/13/1979	11/30/2007
Inactive	Resident	Agent	Health	8/13/1979	11/30/2007
* 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	Ability Insurance Company	301013	Agent - Health	1/20/2004	1/31/2008
Inactive	Ability Insurance Company	301013	Agent - Life	1/20/2004	1/31/2008
Inactive	Aetna Health Inc.	300694	Agent - Health	3/1/2001	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	7/10/2000	3/1/2001
Denied	Aetna Health Inc. (PA)	660717	Agent - Health
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/10/2000	11/30/2007
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/10/2000	11/30/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	9/18/2000	11/30/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/18/2000	11/30/2007
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	3/29/2002	2/25/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/13/1979	2/28/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/13/1979	2/28/2005
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	1/31/1992	12/18/1998
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	1/31/1992	12/18/1998
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	American United Life Insurance Company	300498	Agent - Health	11/23/1994	11/30/2007
Inactive	American United Life Insurance Company	300498	Agent - Life	11/23/1994	11/30/2007
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	2/15/2002	11/2/2006
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/15/2002	10/3/2002
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	9/16/1996	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	9/16/1996	12/31/2001
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	7/27/1993	4/12/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	7/27/1993	4/12/1999
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/22/1999	11/6/2000
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/22/1999	11/6/2000
Inactive	Columbian Life Insurance Company	300810	Agent - Health	12/10/2001	11/25/2002
Inactive	Columbian Life Insurance Company	300810	Agent - Life	12/10/2001	11/25/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	5/28/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	5/28/2004
Inactive	Conseco Insurance Company	301202	Agent - Life	10/29/1998	1/25/2005
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/18/2000	3/24/2006
Inactive	Forethought Life Insurance Company	301407	Agent - Health	4/22/1996	2/24/2003
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/22/1996	12/3/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/27/2000	12/4/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/27/2000	12/4/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	11/30/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/15/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	5/14/1998	11/30/2007
Inactive	Humana Insurance Company	301104	Agent - Life	5/14/1998	11/30/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/2/1985	10/31/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/2/1985	10/31/1996
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	8/13/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	8/13/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Health	9/18/2000	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	9/18/2000	8/2/2002
Inactive	Medico Insurance Company	301559	Agent - Health	1/24/2007	1/31/2008
Inactive	Medico Insurance Company	301559	Agent - Life	1/24/2007	1/31/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/22/2002	1/4/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/22/2002	1/4/2008
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	10/26/1993	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	10/26/1993	3/31/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/26/2004	10/15/2007
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	10/8/1997	7/23/1999
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	10/8/1997	7/23/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	2/13/1995	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	2/13/1995	8/24/2000
Inactive	Paul Revere Protective Life Insurance Company (The)	301428	Agent - Health	2/13/1995	4/23/1999
Inactive	Paul Revere Protective Life Insurance Company (The)	301428	Agent - Life	2/13/1995	4/23/1999
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/21/1987	11/30/2007
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/21/1987	11/30/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/18/1992	5/27/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/18/1992	5/27/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/29/1998	11/30/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/29/1998	11/30/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	2/7/1991	7/10/2000
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/7/1991	7/10/2000
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	6/22/1994	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	6/22/1994	3/31/1997
Inactive	State Life Insurance Company	301497	Agent - Health	4/28/1995	2/24/1997
Inactive	State Life Insurance Company	301497	Agent - Life	4/28/1995	2/24/1997
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/19/1997	11/30/2007
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/19/1997	11/30/2007
Inactive	Transamerica Assurance Company	300893	Agent - Health	9/24/2001	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	9/24/2001	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/30/2004	11/30/2007
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/30/2004	11/30/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/5/1999	11/30/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/5/1999	11/30/2007
Inactive	USG Annuity & Life Company	300457	Agent - Health	11/27/2000	1/1/2004
Inactive	USG Annuity & Life Company	300457	Agent - Life	11/27/2000	1/1/2004
Inactive	Union Central Life Insurance Company	300307	Agent - Health	5/19/1994	2/11/2005
Inactive	Union Central Life Insurance Company	300307	Agent - Life	5/19/1994	2/11/2005
Inactive	United American Insurance Company	300910	Agent - Health	2/6/2002	6/10/2002
Inactive	United American Insurance Company	300910	Agent - Life	2/6/2002	6/10/2002
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/26/2004	10/15/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/23/1993	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/23/1993	3/31/1997
Inactive	Unum Insurance Company	301499	Agent - Life	2/13/1995	11/30/2007
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	1/1/2004	11/30/2007
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	12/20/2006
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	3/8/1994	11/30/2006
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	3/8/1994	11/30/2006
Inactive	Western National Life Insurance Company	300461	Agent - Life	9/12/2000	12/20/2005
Inactive		300277	Agent - Health	6/2/1997	12/31/1998
Inactive		300277	Agent - Life	6/2/1997	12/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gibney Partners Inc. [The]	400421	Agent - Health Maintenance Organization	9/12/1996	3/1/2001
Inactive	Gibney Partners Inc. [The]	400421	Agent - Life	5/30/1989	11/30/2007
Inactive	Gibney Partners Inc. [The]	400421	Agent - Health	5/30/1989	11/30/2007