DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tilton, Mary Jane	DOIID	348388	NAIC NPN	1462825

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/29/2006	11/11/2008
Inactive	Resident	Agent	Health	9/29/2006	11/11/2008
* 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	AF&L Insurance Company	301582	Agent - Health	3/1/2001	3/31/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/19/2007	10/31/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/19/2007	10/31/2008
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	4/5/2001	3/31/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/24/1996	11/30/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/24/1996	11/30/2001
Inactive	Celtic Insurance Company	300877	Agent - Health	11/18/1994	3/31/2001
Inactive	Celtic Insurance Company	300877	Agent - Life	11/18/1994	3/31/2001
Denied	Penn Treaty Network America Insurance Company	301297	Agent - Health
Denied	Penn Treaty Network America Insurance Company	301297	Agent - Life
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/25/1996	3/31/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/25/1996	3/31/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/26/2001	3/31/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	3/26/2001	3/31/2003
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/31/1998	3/31/2003
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	12/31/1998	3/31/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/2/2001	3/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	1/12/2001	9/19/2001
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	1/12/2001	9/19/2001