DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hitch, Donna J	DOIID	347638	NAIC NPN	7190387

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/20/2002	7/31/2008
Inactive	Resident	Agent	Life	11/8/1999	7/31/2008
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	12/20/1999	5/17/2001
Inactive	Columbian Life Insurance Company	300810	Agent - Life	11/8/1999	4/23/2001
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/15/2000	4/23/2001
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/20/1999	5/17/2001
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	12/30/1999	5/31/2001
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	11/29/2004	1/25/2005
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	11/29/2004	1/25/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	7/19/2004	10/21/2004
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	7/19/2004	10/21/2004