DEPARTMENT OF INSURANCE

Affiliations

Name	Backus, Richard Thomas	DOIID	351017	NAIC NPN	815684

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/10/2002	3/1/2022
Inactive	Resident	Agent	Health Maintenance Organization	8/26/1987	3/1/2001
Inactive	Resident	Agent	Life	9/10/2002	3/1/2022
* 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	8/11/2003	10/8/2004
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/12/2008	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/12/2008	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/12/2008	7/30/2012
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/14/2002	7/1/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/14/2002	7/1/2002
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/7/2008	12/2/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	9/7/2005	5/6/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	9/7/2005	5/6/2009
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	3/3/2005	3/9/2005
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	8/26/1987	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/28/2002	3/1/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/28/2002	3/1/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/19/2012	12/8/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/19/2012	12/8/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	9/19/2001	7/1/2002
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/19/2001	7/1/2002
Inactive	Athene Annuity and Life Company	301893	Agent - Life	11/8/1993	7/1/2002
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	3/25/2004	11/16/2004
Inactive	Augustar Life Insurance Company	301816	Agent - Life	3/25/2004	11/16/2004
Inactive	Banner Life Insurance Company	301696	Agent - Life	11/18/2013	3/1/2022
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/23/2003	9/13/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/23/2003	9/13/2013
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	1/26/2018
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	9/5/1989	7/1/2002
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/5/1989	7/1/2002
Inactive	Columbian Life Insurance Company	300810	Agent - Health	6/11/2003	6/28/2013
Inactive	Columbian Life Insurance Company	300810	Agent - Life	6/11/2003	12/18/2013
Inactive	Combined Insurance Company of America	301472	Agent - Health	1/24/2013	3/24/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/19/2009	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/19/2009	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/19/2009	6/26/2013
Inactive	CompDent Corporation	301387	Agent - Health	3/17/2003	12/23/2004
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/24/2006	7/13/2010
Inactive	Companion Life Insurance Company	300191	Agent - Life	8/24/2006	7/13/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	7/1/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	7/1/2002
Inactive	Conseco Insurance Company	301202	Agent - Health	8/27/1990	7/1/2002
Inactive	Conseco Insurance Company	301202	Agent - Life	8/27/1990	7/1/2002
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/19/1994	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/19/1994	3/9/1998
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/19/2009	12/8/2015
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/31/2004	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/31/2004	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/20/2003	12/12/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/20/2003	12/12/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/10/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	1/7/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/5/2007	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/5/2007	11/10/2008
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	9/3/2003	12/8/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/3/2003	12/8/2004
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/23/2003	11/15/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/23/2003	11/15/2013
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Health	1/10/2005	12/4/2006
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Life	1/10/2005	12/4/2006
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/1/2001	7/1/2002
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	2/27/1997	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/19/2009	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	5/19/2009	3/1/2022
Inactive	Humana Insurance Company	301104	Agent - Life	5/19/2009	3/1/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/19/2009	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/19/2009	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/19/2009	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/19/2009	2/24/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/18/2007	11/9/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/18/2007	11/9/2009
Inactive	Indianapolis Life Insurance Company	301381	Agent - Health	1/15/1988	3/31/1997
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	1/15/1988	3/31/1997
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	11/22/1993	12/16/1998
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/22/1993	12/16/1998
Denied	Jefferson-Pilot Life Insurance Company	300379	Agent - Health
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/24/2000	7/1/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/10/2011	1/24/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/10/2011	1/24/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/19/2009	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/19/2009	10/22/2015
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	8/12/1993	5/13/1998
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	8/12/1993	5/13/1998
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	2/15/2006	6/27/2007
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	2/15/2006	6/27/2007
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/15/1992	3/4/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/15/1992	3/4/1996
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	7/30/2003	11/21/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	7/30/2003	11/21/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/23/2008	5/27/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/23/2008	5/27/2009
Inactive	London Pacific Life & Annuity Company	300371	Agent - Life	4/16/2001	7/1/2002
Inactive	Manhattan Life Insurance Company	300880	Agent - Life	11/29/1995	7/1/2002
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	11/20/2006	10/23/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	7/7/2014	11/14/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/5/2000	7/1/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/5/2000	7/1/2002
Inactive	Midland National Life Insurance Company	300923	Agent - Health	10/22/2009	10/4/2011
Inactive	Midland National Life Insurance Company	300923	Agent - Life	10/22/2009	10/4/2011
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/8/2015	4/22/2019
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Health	6/20/1994	12/31/1998
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Life	6/20/1994	12/31/1998
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/17/2005	11/25/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	9/17/2005	11/25/2008
Inactive	Pan-American Assurance Company	301533	Agent - Health	5/10/1996	8/31/1998
Inactive	Pan-American Assurance Company	301533	Agent - Life	5/10/1996	8/31/1998
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	5/10/1996	8/31/1998
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	5/10/1996	8/31/1998
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	6/24/2004	5/18/2006
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	6/24/2004	5/18/2006
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	3/14/1995	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	3/14/1995	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	10/16/1995	7/1/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	10/16/1995	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/29/2004	2/8/2005
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/29/2004	2/8/2005
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/11/2007	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/11/2007	11/23/2009
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	11/29/1995	3/31/1997
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	11/29/1995	3/31/1997
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/29/2012	2/27/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/29/2012	2/27/2016
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	9/5/2007	3/1/2022
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	9/5/2007	3/1/2022
Inactive	Security Life Insurance Company of America	300936	Agent - Health	5/19/2000	7/1/2002
Inactive	Security Life Insurance Company of America	300936	Agent - Life	5/19/2000	7/1/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	4/12/2002	7/1/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	4/12/2002	7/1/2002
Inactive	Standard Insurance Company	300185	Agent - Health	6/12/2003	3/1/2022
Inactive	Standard Insurance Company	300185	Agent - Life	6/12/2003	3/1/2022
Inactive	Time Insurance Company	300683	Agent - Health	10/30/2012	11/25/2019
Inactive	Time Insurance Company	300683	Agent - Life	10/30/2012	11/25/2019
Inactive	Transamerica Assurance Company	300893	Agent - Health	5/5/1999	7/1/2002
Inactive	Transamerica Assurance Company	300893	Agent - Life	5/5/1999	7/1/2002
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	5/5/1999	7/1/2002
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/21/2004	1/3/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/21/2004	1/3/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	6/22/1998	7/1/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	6/13/2006	10/18/2007
Inactive	Union Bankers Insurance Company	301769	Agent - Health	7/15/2006	1/13/2009
Inactive	Union Bankers Insurance Company	301769	Agent - Life	7/15/2006	1/13/2009
Inactive	Union Central Life Insurance Company	300307	Agent - Health	6/23/2003	2/22/2006
Inactive	Union Central Life Insurance Company	300307	Agent - Life	6/23/2003	2/22/2006
Inactive	United American Insurance Company	300910	Agent - Health	5/21/2008	11/20/2008
Inactive	United American Insurance Company	300910	Agent - Life	5/21/2008	11/20/2008
Inactive	United Home Life Insurance Company	300421	Agent - Life	8/29/2006	12/23/2009
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	8/4/2003	2/18/2011
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	8/4/2003	2/18/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/8/2003	10/17/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/8/2003	10/17/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/18/2011	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/18/2011	11/30/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	7/20/2004	5/31/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	7/20/2004	5/31/2007
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/18/2011	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/18/2011	11/30/2016
Inactive	Unity Financial Life Insurance Company	301054	Agent - Life	7/23/2004	2/9/2011
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	3/16/2005	12/20/2006
Inactive		300277	Agent - Life	4/10/2003	7/19/2005

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	10/25/2002	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/25/2002	6/20/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/30/2006	11/8/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	3/1/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	3/1/2022