DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bartley, Beverly Ann	DOIID	307065	NAIC NPN	7158800

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/14/1995	12/31/1999
Inactive	Resident	Agent	Health	8/14/1995	12/31/1999
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/5/1995	10/14/1999
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/5/1995	10/14/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	8/22/1995	10/18/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/22/1995	10/18/1999
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/15/1996	12/31/1999
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/31/1995	1/31/1996
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/31/1995	1/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Liberty Insurance Agency Inc.	398620	Agent - Life	8/14/1995	12/31/1999
Inactive	Liberty Insurance Agency Inc.	398620	Agent - Health	8/14/1995	12/31/1999