DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gibbons, Cindy	DOIID	1284044	NAIC NPN	19021518

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/6/2023		8/31/2025
Active	Non Resident	Agent	Life	7/6/2023		8/31/2025
* 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
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/22/2023
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Patra Corporation	804810	Agent - Life	8/22/2023
Active	Patra Corporation	804810	Agent - Health	8/22/2023