DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Nerva Dorene	DOIID	315882	NAIC NPN	1890965

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/17/1990	12/18/2000
Inactive	Resident	Agent	Life	5/12/1987	12/18/2000
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/31/1991	3/20/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/31/1991	3/20/1998
Inactive	Continental Casualty Company	301019	Agent - Health	9/9/1997	12/1/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/17/1990	11/27/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/17/1990	11/27/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/31/1996	12/18/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/31/1996	12/18/2000
Inactive	Modern Woodmen of America	301213	Agent - Life	5/12/1987	7/26/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	2/27/1995	3/9/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	2/27/1995	3/9/1998
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/5/1995	12/1/2000
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/5/1995	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	12/1/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	12/1/2000
Inactive	Henneberger & Flynn Insurance Agency Inc.	401030	Agent - Life	8/8/1990	12/1/2000
Inactive	Henneberger & Flynn Insurance Agency Inc.	401030	Agent - Health	8/8/1990	12/1/2000