DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Verst, Clara M	DOIID	351698	NAIC NPN	7192236

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/18/1995	9/30/1996
Inactive	Resident	Agent	Health	10/18/1995	9/30/1996
* 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	5/9/1996	9/30/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/9/1996	9/30/1996
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	10/18/1995	7/22/1996
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	10/18/1995	7/22/1996
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	2/15/1996	9/30/1996
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	2/15/1996	9/30/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	4/1/1996	9/30/1996
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	4/1/1996	9/30/1996