DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirby-Spellman, Susan K	DOIID	331531	NAIC NPN	7178772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	12/29/1994	10/30/1999
Inactive	Resident	Agent	Life	12/29/1994	10/30/1999
* 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	Anthem Life Insurance Company	301209	Agent - Health	4/10/1996	10/30/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/10/1996	10/30/1999
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	1/30/1995	12/31/1998
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	1/30/1995	12/31/1998
Inactive	Augustar Life Insurance Company	301816	Agent - Health	12/29/1994	12/31/1998
Inactive	Augustar Life Insurance Company	301816	Agent - Life	12/29/1994	12/31/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/12/1995	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/12/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/3/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/3/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	2/20/1996	10/30/1999
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	2/20/1996	10/30/1999