DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Suit, Jeanie Wagner	DOIID	354167	NAIC NPN	7193255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/2/1994	3/17/1998
Inactive	Resident	Agent	Life	11/2/1994	3/17/1998
* 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 States Life Insurance Company	301884	Agent - Health	11/2/1994	3/17/1998
Inactive	American States Life Insurance Company	301884	Agent - Life	11/2/1994	3/17/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Eastern Kentucky-Pikeville Inc.	398199	Agent - Life	11/17/1994	3/17/1998
Inactive	Acordia of Eastern Kentucky-Pikeville Inc.	398199	Agent - Health	11/17/1994	3/17/1998