DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nickell, Mary E	DOIID	316314	NAIC NPN	718492

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/7/1995	11/30/2009
Inactive	Resident	Agent	Life	8/7/1995	11/30/2009
* 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	Continental Casualty Company	301019	Agent - Health	6/26/2002	12/6/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Health	5/28/1998	1/3/2003
Inactive	Everlake Life Insurance Company	300873	Agent - Life	5/28/1998	1/3/2003
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	4/24/2001	8/27/2003
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	4/24/2001	8/27/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/6/2004	12/22/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/6/2004	12/22/2004
Inactive	Liberty Life Insurance Company	301542	Agent - Health	6/11/2001	1/30/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Life	6/11/2001	1/30/2003
Inactive	Sears Life Insurance Company	300218	Agent - Health	6/20/2001	1/3/2003
Inactive	Sears Life Insurance Company	300218	Agent - Life	6/20/2001	1/3/2003
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	8/7/1995	3/31/1997
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	8/7/1995	3/31/1997
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	4/27/2001	11/19/2002
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	4/27/2001	11/19/2002
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	6/26/2002	12/6/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	6/26/2002	12/6/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	7/31/2000	5/2/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	7/31/2000	5/2/2003