DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	American Assur Guaranty -000	DOIID	857645	NAIC NPN	17341270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/28/2014	7/1/2015
Inactive	Non Resident	Agent	Life	10/28/2014	7/1/2015
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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	American Retirement Life Insurance Company	706303	Agent - Health	10/31/2014	7/1/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	10/31/2014	7/1/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/20/2015	7/1/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/20/2015	7/1/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/20/2015	7/1/2015
Inactive	Humana Insurance Company	301104	Agent - Health	2/20/2015	7/1/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/20/2015	7/1/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/20/2015	7/1/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/20/2015	7/1/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/20/2015	7/1/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/20/2015	7/1/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/20/2015	7/1/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dicarlo, Vincent Alexander	757366	Agent - Health	10/28/2014	4/30/2015
Inactive	Dicarlo, Vincent Alexander	757366	Agent - Life	10/28/2014	4/30/2015