DEPARTMENT OF INSURANCE

Affiliations

Name	Ball, Gary W	DOIID	348963	NAIC NPN	7190964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/31/2001	7/1/2016
Inactive	Resident	Agent	Life	10/30/1989	7/1/2016
Inactive	Resident	Agent	Health Maintenance Organization	3/20/1990	3/1/2001
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/31/2001	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/26/2001	11/21/2007
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	3/20/1990	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/31/2001	7/1/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/5/1999	7/1/2016
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	5/31/2001	5/17/2005
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	9/10/1996	5/17/2005
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	5/31/2001	11/29/2004
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	3/19/2001	11/29/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Health	2/7/2005	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	2/7/2005	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	2/7/2005	1/23/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	2/7/2005	1/23/2007
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	11/29/1995	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	11/29/1995	3/9/1998
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/29/2004	7/1/2009
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/29/2004	7/1/2009
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/29/2008	1/7/2010
Inactive	EMC National Life Company	300388	Agent - Health	8/3/2004	5/19/2008
Inactive	EMC National Life Company	300388	Agent - Life	8/3/2004	5/19/2008
Inactive	Encova Life Insurance Company	301818	Agent - Life	7/14/2004	1/22/2008
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/29/2008	1/7/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/31/2001	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/20/1990	12/13/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/23/1994	3/4/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/23/1994	3/4/1996
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	10/27/1998	2/7/2003
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/27/1998	3/16/2001
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	7/21/2004	6/8/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	12/12/2007	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/12/2007	12/29/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/5/2003	5/29/2007
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/5/2003	5/29/2007
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	2/10/2004	7/31/2009
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	2/10/2004	7/31/2009
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	5/31/2001	7/1/2016
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	10/30/1989	7/1/2016
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	10/20/2003	12/18/2006
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	10/20/2003	12/18/2006
Inactive	Lumico Life Insurance Company	300354	Agent - Health	10/4/1994	3/31/1997
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/4/1994	3/31/1997
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	7/19/1999	1/29/2003
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/24/1997	10/30/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/24/1997	10/30/1997
Inactive	Order of United Commercial Travelers of America	301723	Agent - Health	3/15/2002	12/31/2004
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	9/10/1996	12/31/2004
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/20/2004	7/17/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	5/20/2004	7/17/2012
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	5/31/2001	6/12/2006
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	5/19/1998	6/12/2006
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	8/23/2004	4/26/2005
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	8/23/2004	4/26/2005
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	8/15/1994	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	8/15/1994	10/23/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/24/2005	6/25/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	7/15/2004	6/8/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	7/15/2004	6/8/2007
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/22/2004	12/29/2005

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	8/25/1999	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/31/2001	6/20/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	7/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	7/1/2016
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	4/3/2002	7/1/2016
Inactive	Medlink Inc	400721	Agent - Health	4/3/2002	7/1/2016
Inactive	Southern Brokers Inc.	399821	Agent - Health	8/15/1989	5/31/2003
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Life	1/20/2005	7/1/2016
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Health	1/20/2005	7/1/2016
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