DEPARTMENT OF INSURANCE

Affiliations

Name	Ladner, Theresa Dianne	DOIID	331768	NAIC NPN	557956

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/23/1999	10/31/2026
Active	Non Resident	Agent	Health	8/23/1999	10/31/2026
* 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 Assurance Company	300586	Agent - Health	9/9/2004	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	9/9/2004	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	3/15/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	3/15/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/1/2014	3/4/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/1/2014	3/4/2015
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	11/5/1999	10/31/2003
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	11/5/1999	10/31/2003
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	11/9/2001
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	11/9/2001
Active	Continental American Insurance Company	301700	Agent - Health	8/13/2010
Active	Continental American Insurance Company	301700	Agent - Life	8/13/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/17/2011	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/17/2011	5/4/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	6/18/2001	9/13/2007
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	6/18/2001	9/13/2007
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	12/22/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	12/22/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	2/3/2006	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/3/2006	12/18/2020
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	3/3/2000	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	3/3/2000	6/25/2008
Active	Starmount Life Insurance Company	628031	Agent - Health	12/22/2022
Inactive	Transamerica Assurance Company	300893	Agent - Health	2/27/2003	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	2/27/2003	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/14/2004	11/21/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/14/2004	11/21/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	2/27/2003	11/21/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	2/27/2003	11/21/2006
Inactive	Trustmark Insurance Company	300317	Agent - Health	3/21/2011	7/27/2019
Inactive	Trustmark Insurance Company	300317	Agent - Life	3/21/2011	7/27/2019
Active	UNUM Life Insurance Company of America	300817	Agent - Health	12/22/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	12/22/2022
Active	Unum Insurance Company	301499	Agent - Health	12/22/2022
Active	Unum Insurance Company	301499	Agent - Life	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Life	3/24/2022
Active	Custom Benefit Programs Inc	630774	Agent - Health	3/24/2022