DEPARTMENT OF INSURANCE

Affiliations

Name	Pruitt, Otis Ray	DOIID	385047	NAIC NPN	7206790

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/19/2002		5/31/2027
Active	Resident	Agent	Life	8/19/2002		5/31/2027
Inactive	Resident	Agent	Health Maintenance Organization	7/24/1995	7/14/1997
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	01/24/2025	01/24/2025	Yes

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	4/30/2003	12/1/2006
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/4/2018
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/18/2007	9/8/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/18/2007	9/8/2011
Inactive	American Continental Insurance Company	643130	Agent - Health	3/18/2009	5/12/2011
Inactive	American Continental Insurance Company	643130	Agent - Life	12/4/2018	8/11/2021
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	7/29/2009
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	10/20/2022	12/23/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	4/30/2018	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	4/30/2018	12/23/2019
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	6/21/2002	7/1/2002
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	6/21/2002	7/1/2002
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	9/30/2015	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	9/30/2015	12/21/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	2/14/2007	10/31/2008
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/14/2007	10/31/2008
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/3/2002	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/3/2002	4/15/2025
Active	Assurity Life Insurance Company	301099	Agent - Health	7/28/2016
Active	Assurity Life Insurance Company	301099	Agent - Life	7/28/2016
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Health	5/7/2009	5/8/2013
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	5/7/2009	5/8/2013
Inactive	Atlantic Coast Life Insurance Company	642114	Agent - Life	10/18/2016	12/31/2018
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	5/3/2019	7/27/2021
Inactive	Bankers Life Insurance Company	301784	Agent - Health	10/20/2002	12/22/2004
Inactive	Bankers Life Insurance Company	301784	Agent - Life	10/20/2002	12/22/2004
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/26/2017	12/21/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	5/26/2017	12/21/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/22/2007	1/1/2009
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	2/22/2007	1/1/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Health	10/16/2002	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	10/16/2002	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	7/6/2004	10/23/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	7/6/2004	10/23/2009
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	7/19/1995	3/10/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	7/19/1995	3/10/1998
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/4/2018
Active	EquiTrust Life Insurance Company	502870	Agent - Life	8/18/2015
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/18/1999	7/1/2002
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	10/18/2017	5/24/2021
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/10/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/10/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/10/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/10/2009	12/7/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/22/2016	6/25/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/22/2016	6/25/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/17/2005	2/25/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/17/2005	2/25/2008
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/15/2003	12/2/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/15/2003	12/2/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/24/1995	7/14/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/16/2002	12/23/2004
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/16/2002	12/23/2004
Inactive	Independent Order of Foresters	300743	Agent - Life	11/22/2010	12/31/2012
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	5/11/1998	6/4/1999
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/11/1998	6/4/1999
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/23/1998	7/1/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/23/1998	7/1/2002
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	3/12/2015	7/29/2022
Active	LifeShield National Insurance Company	737111	Agent - Health	3/6/2024
Active	LifeShield National Insurance Company	737111	Agent - Life	3/6/2024
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	1/11/2017	5/15/2019
Inactive	Loyal Christian Benefit Association	300958	Agent - Life	10/15/2014	2/20/2015
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	1/22/2025
Inactive	Midland National Life Insurance Company	300923	Agent - Health	6/15/2007	4/14/2021
Active	Midland National Life Insurance Company	300923	Agent - Life	6/15/2007
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/8/1996	7/5/2002
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	12/30/2014	7/7/2016
Active	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	2/18/2009
Active	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	2/18/2009
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	10/11/2002	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	10/11/2002	3/31/2003
Inactive	Omaha Insurance Company	751908	Agent - Health	9/10/2015	8/22/2016
Inactive	Oxford Life Insurance Company	301079	Agent - Health	11/4/2014	10/2/2015
Inactive	Oxford Life Insurance Company	301079	Agent - Life	11/4/2014	10/2/2015
Active	Pacific Guardian Life Insurance Co., Ltd.	1074040	Agent - Life	2/11/2022
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	7/19/2005	3/31/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	7/19/2005	3/31/2009
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	7/1/2002
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/23/1997	7/1/2002
Inactive	Physicians Life Insurance Company	300924	Agent - Health	10/23/2008	3/23/2009
Inactive	Physicians Life Insurance Company	300924	Agent - Life	10/3/2008	3/23/2009
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	10/3/2008	3/23/2009
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	1/11/1995	7/1/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	1/11/1995	7/1/2002
Inactive	Pruco Life Insurance Company	300954	Agent - Health	3/7/2007	9/17/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/7/2007	9/17/2014
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	5/30/2017	8/8/2022
Active	Royal Neighbors of America	301646	Agent - Life	10/20/2014
Inactive	SILAC Insurance Company	300535	Agent - Health	5/23/2016	12/13/2016
Inactive	SILAC Insurance Company	300535	Agent - Life	5/23/2016	12/13/2016
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	10/16/2002	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	10/16/2002	7/18/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	3/15/1999	9/18/2000
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	3/15/1999	9/18/2000
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/9/2010	4/25/2015
Inactive	State Mutual Insurance Company	300359	Agent - Health	6/10/1998	3/25/2002
Inactive	State Mutual Insurance Company	300359	Agent - Life	6/10/1998	3/25/2002
Inactive	Time Insurance Company	300683	Agent - Health	2/11/2003	1/20/2012
Inactive	Time Insurance Company	300683	Agent - Life	2/11/2003	1/20/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/29/2018	5/13/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/29/2018	5/13/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/24/2018	5/13/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/24/2018	5/13/2019
Inactive	Union Security Insurance Company	301844	Agent - Health	6/3/1996	4/2/1998
Inactive	Union Security Insurance Company	301844	Agent - Life	6/3/1996	4/2/1998
Active	United American Insurance Company	300910	Agent - Health	11/4/2002
Active	United American Insurance Company	300910	Agent - Life	11/4/2002
Active	United Home Life Insurance Company	300421	Agent - Life	3/13/2024
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	4/4/1997	9/27/1999
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	4/4/1997	9/27/1999
Inactive	United World Life Insurance Company	300532	Agent - Health	9/26/2018	3/30/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/18/2022	11/15/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/18/2022	11/15/2022
Inactive	Unity Financial Life Insurance Company	301054	Agent - Life	8/6/2004	11/22/2011
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/17/2002	3/14/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	4/22/1996	7/1/2002
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	4/22/1996	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/11/2002	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/11/2002	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008