DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Eagle Brokerage Inc	DOIID	671772	NAIC NPN	8802854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/10/2008	3/6/2012
Inactive	Non Resident	Agent	Health	1/10/2008	3/6/2012
* 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	Humana Health Plan, Inc.	300142	Agent - Health	9/2/2009	3/6/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/2/2009	3/6/2012
Inactive	Humana Insurance Company	301104	Agent - Life	9/2/2009	3/6/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/2/2009	3/6/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/2/2009	3/6/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/2/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/2/2009	2/23/2012
Inactive	Independent Order of Foresters	300743	Agent - Health	10/11/2008	3/6/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	10/11/2008	1/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/2/2009	3/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/2/2009	3/6/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Parker, Dalvin Kendall	383917	Agent - Health	1/10/2008	3/6/2012
Inactive	Parker, Dalvin Kendall	383917	Agent - Life	1/10/2008	3/6/2012