DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Usatuck, Beverly Ann	DOIID	359880	NAIC NPN	1884205

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/13/1999	3/31/2011
Inactive	Non Resident	Agent	Health	7/13/1999	3/31/2011
* 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 General Life Insurance Company	301585	Agent - Health	9/15/2007	10/21/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	9/15/2007	10/21/2009
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	8/17/2007	12/11/2009
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	8/17/2007	12/11/2009
Inactive	Chase Insurance Life Company	301287	Agent - Health	7/13/1999	5/17/2006
Inactive	Chase Insurance Life Company	301287	Agent - Life	7/13/1999	5/17/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/29/2005	5/17/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	11/21/2000	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	11/21/2000	10/28/2008
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	10/29/2007	8/11/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	10/29/2007	8/11/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/22/2007	8/12/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/22/2007	8/12/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/3/2008	8/27/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	America Direct Ins Agency Inc	619155	Agent - Life	1/23/2007	4/19/2007
Inactive	America Direct Ins Agency Inc	619155	Agent - Health	1/23/2007	4/19/2007