DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kasey, Martha B	DOIID	307894	NAIC NPN	1644403

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/11/1987	12/1/2000
Inactive	Resident	Agent	Health	5/11/1987	12/1/2000
* 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	Bankers United Life Assurance Company	300296	Agent - Health	12/3/1992	10/26/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	12/3/1992	10/26/1998
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/12/1994	12/28/1998
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Health	12/22/1993	12/1/2000
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	12/22/1993	12/1/2000
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/24/1991	12/1/2000
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/24/1991	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/13/1991	9/5/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/13/1991	9/5/2000
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Health	8/7/1990	3/31/1997
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Life	8/7/1990	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	11/2/1990	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	11/2/1990	3/31/1997
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/23/1994	12/1/2000
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/23/1994	12/1/2000
Inactive	Union Security Insurance Company	301844	Agent - Health	4/1/1996	4/28/1998
Inactive	Union Security Insurance Company	301844	Agent - Life	4/1/1996	4/28/1998
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	1/31/1994	5/3/1999
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	1/31/1994	5/3/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Life	5/11/1987	12/1/2000
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Health	5/11/1987	12/1/2000