DEPARTMENT OF INSURANCE

Affiliations

Name	Merrick, Carmelita	DOIID	543490	NAIC NPN	1734602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/2/2002	7/31/2012
Inactive	Non Resident	Agent	Life	1/2/2002	7/31/2012
* 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	Anthem Life Insurance Company	301209	Agent - Health	1/2/2002	7/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/2/2002	7/31/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/9/2005	8/10/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/9/2005	8/10/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/3/2009	7/6/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/3/2009	12/8/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/3/2009	12/8/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	7/6/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	7/8/2005	10/27/2006
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/8/2005	10/27/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/9/2005	8/10/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/9/2005	8/10/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/18/2011	8/30/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/18/2011	8/30/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/3/2009	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Health	4/3/2009	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Life	4/3/2009	7/6/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/3/2009	7/6/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/3/2009	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/3/2009	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/3/2009	7/6/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/13/2005	4/27/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/13/2005	4/27/2009
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/24/2003	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/24/2003	11/25/2009
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	4/10/2007	7/31/2012
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	4/10/2007	7/31/2012

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 - Health	1/24/2002	2/28/2007
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/24/2002	2/28/2007
Inactive	Brower Insurance Agency, LLC	545166	Agent - Health	3/13/2002	7/31/2012
Inactive	Brower Insurance Agency, LLC	545166	Agent - Life	3/13/2002	7/31/2012
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	1/6/2003	7/31/2012
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	1/6/2003	7/31/2012