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	10/31/2024
Active	Non Resident	Agent	Health	8/23/1999	10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

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