DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chisolm, Rita D	DOIID	345083	NAIC NPN	7189282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/10/1995	12/29/2013
Inactive	Resident	Agent	Life	7/10/1995	12/29/2013
* 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	Anthem Life Insurance Company	301209	Agent - Health	7/10/1995	12/11/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/10/1995	12/11/2002
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	7/16/2007	9/18/2007
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	7/16/2007	9/18/2007
Inactive	Humana Insurance Company	301104	Agent - Health	11/18/2002	12/29/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/18/2002	12/29/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	2/1/2008	3/31/2009
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	2/1/2008	3/31/2009