DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	One Source America Inc	DOIID	663421	NAIC NPN	8829474

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/29/2007	3/31/2009
Inactive	Non Resident	Agent	Health	10/29/2007	3/31/2009
* 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	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/31/2009
Inactive	Everly Life Insurance Company	561641	Agent - Life	2/22/2008	3/31/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	5/22/2008	3/31/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	5/22/2008	3/31/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/30/2008	3/31/2009
Inactive	Humana Insurance Company	301104	Agent - Health	4/30/2008	3/31/2009
Inactive	Humana Insurance Company	301104	Agent - Life	4/30/2008	3/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/30/2008	3/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/30/2008	3/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/30/2008	3/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/30/2008	3/31/2009
Inactive	Independent Order of Foresters	300743	Agent - Life	11/1/2008	3/31/2009
Inactive	National Western Life Insurance Company	301515	Agent - Health	11/1/2008	3/31/2009
Inactive	National Western Life Insurance Company	301515	Agent - Life	11/1/2008	3/31/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	11/2/2007	3/31/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/2/2007	3/31/2009
Inactive	Union Bankers Insurance Company	301769	Agent - Health	8/1/2008	4/13/2009
Inactive	Union Bankers Insurance Company	301769	Agent - Life	8/1/2008	4/13/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Parker, Dalvin Kendall	383917	Agent - Health	10/29/2007	3/31/2009
Inactive	Parker, Dalvin Kendall	383917	Agent - Life	10/29/2007	3/31/2009