DEPARTMENT OF INSURANCE

Affiliations

Name	Raines, Mary Ellen	DOIID	588803	NAIC NPN	8060188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/3/2006	3/1/2020
Inactive	Resident	Agent	Life	1/3/2006	3/1/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/24/2009	10/5/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/24/2009	10/5/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/24/2009	10/5/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/9/2014	9/14/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/9/2014	9/14/2015
Inactive	American United Life Insurance Company	300498	Agent - Health	4/8/2009	5/17/2015
Inactive	American United Life Insurance Company	300498	Agent - Life	4/8/2009	5/17/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/6/2009	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	5/6/2009	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	5/6/2009	8/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/6/2009	8/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/6/2009	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/6/2009	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/6/2009	8/31/2011
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/13/2009	10/26/2010
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/13/2009	10/26/2010
Inactive	Standard Insurance Company	300185	Agent - Health	4/17/2009	3/1/2020
Inactive	Standard Insurance Company	300185	Agent - Life	4/17/2009	3/1/2020
Inactive	Time Insurance Company	300683	Agent - Health	9/1/2009	11/29/2012
Inactive	Time Insurance Company	300683	Agent - Life	9/1/2009	11/29/2012
Inactive	Union Security Insurance Company	301844	Agent - Health	4/14/2009	3/1/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	4/14/2009	3/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/15/2009	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/15/2009	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/15/2009	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/15/2009	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	4/8/2009	3/1/2020
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	4/8/2009	3/1/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	3/1/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	3/1/2020
Denied	Riverwatch Insurance, Inc.	587886	Agent - Health
Denied	Riverwatch Insurance, Inc.	587886	Agent - Life