DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rakosky, Myra Mae	DOIID	334047	NAIC NPN	250249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/3/2009	10/12/2012
Inactive	Non Resident	Agent	General Lines	6/8/1995	9/28/1999
Inactive	Non Resident	Agent	Health	2/3/2009	10/12/2012
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	8/8/1995	9/28/1999
Inactive	Government Employees Insurance Company	300376	Agent - General Lines	6/8/1995	10/15/1996
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/28/2011	10/12/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/28/2011	10/12/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	8/8/1995	9/28/1999
Inactive	United American Insurance Company	300910	Agent - Health	3/20/2009	10/12/2012
Inactive	United American Insurance Company	300910	Agent - Life	3/20/2009	10/12/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Union Privilege Inc	600375	Agent - Health	4/16/2009	10/12/2012
Inactive	Union Privilege Inc	600375	Agent - Life	4/16/2009	10/12/2012