DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Augustine, Rose M	DOIID	340805	NAIC NPN	968981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/21/2005	7/31/2014
Inactive	Non Resident	Agent	General Lines	4/20/1992	7/27/2000
Inactive	Non Resident	Agent	Health	6/21/2005	7/31/2014
* 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 States Insurance Company	301230	Agent - General Lines	4/20/1992	7/27/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/14/2005	7/31/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/14/2005	7/31/2014
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	7/27/2000
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	7/27/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	7/27/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	7/27/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/27/2005	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/27/2005	6/20/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	7/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	7/31/2014