DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Leveille, Carolyn S	DOIID	305104	NAIC NPN	2368170

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	4/16/1999	10/31/2007
Inactive	Non Resident	Agent	Life	3/17/1997	10/31/2011
Inactive	Non Resident	Agent	Health	3/17/1997	10/31/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/23/1997	12/28/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/23/1997	12/28/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/17/1997	12/27/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/17/1997	12/27/2006
Inactive	LifeUSA Insurance Company	300386	Agent - Health	4/23/1997	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	4/23/1997	8/2/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefits Simplified, LLC	578256	Agent - Life	5/17/2004	12/28/2006
Inactive	Benefits Simplified, LLC	578256	Agent - Health	5/17/2004	12/28/2006
Inactive	Star Robbins & Company	395837	Administrator - Not Applicable	4/16/1999	3/31/2001