DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hammer, Vicki L	DOIID	337586	NAIC NPN	1645654

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/23/1992	3/31/1997
Inactive	Non Resident	Agent	Health	11/11/1992	8/20/1999
Inactive	Non Resident	Agent	Life	11/11/1992	8/20/1999
* 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	Standard Security Life Insurance Company of NY	301487	Agent - Health	11/11/1992	8/20/1999
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	11/11/1992	8/20/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Serv Administrators Inc	397924	Administrator - Not Applicable	7/23/1992	3/31/1997