DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Page, Teresa M	DOIID	310094	NAIC NPN	7160247

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/3/2004	8/1/2012
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	7/31/2012
Inactive	Resident	Agent	Credit Life & Health	10/23/1986	8/7/2000
* 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	Empower Annuity Insurance Company of America	300259	Agent - Life	6/26/2007	3/25/2011
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/2/2009	2/10/2011
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	10/26/2010	5/6/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/21/2004	2/5/2007
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/26/2007	3/25/2011
Inactive	Pacific Life Insurance Company	301848	Agent - Life	8/31/2009	2/16/2011
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/10/2004	11/23/2009
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/26/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	12/27/2002
Inactive	Symetra Life Insurance Company	301691	Agent - Life	5/20/2010	2/10/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/30/2007	3/21/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	10/27/1986	9/22/1998
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/25/2007	8/1/2012
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/4/2010	8/1/2012
Inactive		300277	Agent - Life	8/9/2004	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National City Bank	399078	Agent - Credit Life & Health	10/23/1986	8/7/2000
Inactive	National City Bank	399078	Agent - Limited Line Credit	8/7/2000	12/27/2002
Inactive	National City Bank of Kentucky	400904	Agent - Credit Life & Health	12/8/1999	8/7/2000
Denied	National City Bank of Kentucky	400904	Agent - Limited Line Credit
Denied	U S Bancorp Ins Services L L C	400253	Agent - Limited Line Credit
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	4/24/2007	2/8/2011
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	4/24/2007	2/8/2011