DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Tami Sue	DOIID	318138	NAIC NPN	3140768

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/1/1999	9/30/2014
Inactive	Non Resident	Agent	Life	11/1/1999	9/30/2014
* 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 General Life Insurance Company	301585	Agent - Health	11/3/2011	11/7/2014
Inactive	American General Life Insurance Company	301585	Agent - Life	11/3/2011	11/7/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/23/2006	7/12/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/23/2006	7/12/2010
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	11/6/2006	12/17/2009
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	11/6/2006	12/17/2009
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/6/2011	3/19/2013
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	6/25/2003	10/5/2004
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	6/25/2003	10/5/2004
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	5/2/2005	6/8/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Health	6/23/2003	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	6/23/2003	6/30/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/24/2005	2/1/2007
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	10/24/2005	2/1/2007
Inactive	Revol One Insurance Company	300681	Agent - Health	9/22/2006	12/28/2012
Inactive	Revol One Insurance Company	300681	Agent - Life	9/22/2006	5/31/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	11/1/1999	12/16/2002
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	11/1/1999	12/16/2002
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	6/23/2003	6/8/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accent Licensed Ins Services LLC	776307	Agent - Life	4/30/2012	2/28/2013
Inactive	Accent Licensed Ins Services LLC	776307	Agent - Health	4/30/2012	2/28/2013
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	10/22/2001	12/6/2002
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	10/22/2001	12/6/2002
Inactive	QBE First Enterprises LLC	610980	Agent - Life	10/16/2006	3/1/2012
Inactive	QBE First Enterprises LLC	610980	Agent - Health	10/16/2006	3/1/2012