DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kidwell, Mary Elizabeth	DOIID	356426	NAIC NPN	7194274

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/23/1994	3/11/1998
Inactive	Resident	Agent	Health	6/23/1994	3/11/1998
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/19/1997	3/11/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/19/1997	3/11/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/30/1996	3/11/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/30/1996	3/11/1998
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	7/30/1997	3/11/1998
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	7/30/1997	3/11/1998
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/23/1994	3/11/1998
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/23/1994	1/5/1998
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/23/1994	1/5/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	2/7/1997	3/11/1998
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	2/7/1997	3/11/1998
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997