DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sissman, Rita Ann	DOIID	343103	NAIC NPN	3200723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/22/1999	11/16/2010
Inactive	Non Resident	Agent	Life	11/22/1999	11/16/2010
* 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 Bankers Life Assurance Company of Florida	300171	Agent - Health	11/14/2000	12/23/2005
Inactive	American General Assurance Company	300586	Agent - Health	12/15/2003	9/27/2004
Inactive	American General Assurance Company	300586	Agent - Life	12/15/2003	9/27/2004
Inactive	Balboa Life Insurance Company	301327	Agent - Health	12/1/2004	12/1/2005
Inactive	Balboa Life Insurance Company	301327	Agent - Life	12/1/2004	12/1/2005
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/20/2007	1/21/2009
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/20/2007	1/21/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	9/1/2005	6/14/2010
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	9/1/2005	6/14/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/20/2004	11/16/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	8/14/2000	11/16/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	8/14/2000	11/16/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/15/2003	11/16/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/15/2003	11/16/2010
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	11/22/1999	9/1/2000
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	11/22/1999	9/1/2000
Inactive	Union Security Life Insurance Company	300903	Agent - Health	12/10/2001	12/23/2005
Inactive	Union Security Life Insurance Company	300903	Agent - Life	12/10/2001	12/23/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Americall Corporation	520281	Agent - Life	2/9/2005	11/16/2010
Inactive	Americall Corporation	520281	Agent - Health	2/9/2005	11/16/2010