DEPARTMENT OF INSURANCE

Affiliations

Name	Long, Scott E	DOIID	677103	NAIC NPN	8759683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/27/2008	9/30/2012
Inactive	Non Resident	Agent	Life	3/27/2008	9/30/2012
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/2/2008	9/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/2/2008	9/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/2/2008	9/30/2012
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	8/25/2008	9/30/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	9/30/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/30/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/7/2009	9/30/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/7/2009	9/30/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/7/2009	9/30/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/7/2009	9/30/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/26/2009	9/30/2012
Inactive	Humana Insurance Company	301104	Agent - Health	7/17/2008	9/30/2012
Inactive	Humana Insurance Company	301104	Agent - Life	7/17/2008	9/30/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/17/2008	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/17/2008	2/23/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/3/2008	9/30/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/3/2008	9/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/28/2010	9/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/28/2010	9/30/2012
Inactive	Time Insurance Company	300683	Agent - Health	8/9/2012	10/19/2012
Inactive	Time Insurance Company	300683	Agent - Life	8/9/2012	10/19/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Contemporary Benefits Design Inc	672432	Agent - Life	9/11/2008	9/30/2012
Inactive	Contemporary Benefits Design Inc	672432	Agent - Health	9/11/2008	9/30/2012