DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fox, Mary Beth	DOIID	347045	NAIC NPN	254571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/18/2022	6/19/2023
Inactive	Non Resident	Agent	Life	11/18/2022	6/19/2023
* 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 Heritage Life Insurance Company	300272	Agent - Health	8/15/1996	12/17/2004
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/15/1996	12/17/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	3/9/1995	8/31/2016
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	3/9/1995	8/31/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/27/2011	8/31/2016
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/27/2011	8/31/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/26/2004	9/28/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/26/2004	9/28/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/1/1996	3/10/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/1/1996	3/10/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/14/2011	8/31/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/14/2011	8/31/2016
Inactive	Trustmark Insurance Company	300317	Agent - Health	2/5/2001	12/16/2012
Inactive	Trustmark Insurance Company	300317	Agent - Life	2/5/2001	12/16/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/12/2009	3/10/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/12/2009	3/10/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	4/5/2012	10/29/2013
Inactive	Willis Of Illinois Inc	398318	Agent - Health	4/5/2012	10/29/2013
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Life	11/8/1996	12/1/2004
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	11/8/1996	12/1/2004