DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Jeannetta N	DOIID	356341	NAIC NPN	531705

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/22/1980	7/1/2004
Inactive	Resident	Agent	Life	9/22/1980	7/1/2004
* 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 Heritage Life Insurance Company	300272	Agent - Health	10/1/1991	6/26/2000
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/1/1991	6/26/2000
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	9/3/1992	6/19/1998
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	9/3/1992	6/19/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/22/1980	7/1/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/22/1980	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bennett Insurance Service Inc.	399537	Agent - Life	3/15/1999	7/1/2004
Inactive	Bennett Insurance Service Inc.	399537	Agent - Health	3/15/1999	7/1/2004
Inactive	Southern Brokers Insurance Center Inc.	399917	Agent - Life	9/3/1991	5/31/2004
Inactive	Southern Brokers Insurance Center Inc.	399917	Agent - Health	9/3/1991	5/31/2004