DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Merritt, Beverly Dee	DOIID	310095	NAIC NPN	7160248

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/22/2002	11/12/2003
Inactive	Resident	Agent	Life	8/22/2002	11/12/2003
Inactive	Resident	Independent Adjuster	Property & Casualty	3/8/2004	9/30/2010
* 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	8/22/2002	11/12/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/22/2002	11/12/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gab Robins North America Inc.	401147	Independent Adjuster - Property & Casualty	3/31/2000	2/20/2002
Inactive	Kentucky National Insurance Company	301625	Independent Adjuster - Property & Casualty	5/8/1997	11/21/1997

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pridemore, Lori Katherine	377013	Apprentice Adjuster - Not Applicable	6/24/1997	11/21/1997