DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Marcum, Mary Ann	DOIID	355898	NAIC NPN	250030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/20/1995	9/6/2013
Inactive	Non Resident	Agent	Health	7/20/1995	9/6/2013
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Life	10/7/2008	7/28/2010
Inactive	Combined Insurance Company of America	301472	Agent - Health	9/23/1997	6/27/2001
Inactive	Combined Insurance Company of America	301472	Agent - Life	9/23/1997	6/27/2001
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	4/6/2011	5/23/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/6/2011	5/23/2013
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/26/2005	9/6/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	9/18/2007	5/14/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	9/18/2007	5/14/2013
Inactive	Time Insurance Company	300683	Agent - Health	10/23/2008	10/21/2009
Inactive	Time Insurance Company	300683	Agent - Life	10/23/2008	10/21/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/12/2008	5/14/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/12/2008	5/14/2013
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	9/23/1997	5/2/2005
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	9/23/1997	5/2/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Global Contact Services	546831	Agent - Life	9/29/2011	5/23/2013
Inactive	Global Contact Services	546831	Agent - Health	9/29/2011	9/6/2013