DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Prendergast Sr, James Edward	DOIID	713143	NAIC NPN	7991879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/10/2009	9/30/2013
Inactive	Non Resident	Agent	Health	9/10/2009	9/30/2013
* 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	9/28/2009	7/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/28/2009	7/16/2012
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	10/14/2009	12/2/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	10/14/2009	12/2/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	9/29/2009	7/16/2012
Inactive	Corporate Call Center, Inc	695480	Agent - Life	9/29/2009	7/16/2012