DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cloutier, Theresa Ann	DOIID	360015	NAIC NPN	7195898

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/31/2000	7/1/2004
Inactive	Resident	Agent	Limited Line Credit	2/22/2010	3/31/2012
Inactive	Resident	Agent	Credit Life & Health	2/2/1998	8/7/2000
* 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	Augustar Life Insurance Company	301816	Agent - Life	4/18/2000	6/14/2001
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Credit Life & Health	2/15/1999	8/7/2000
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Limited Line Credit	8/7/2000	8/30/2000
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/24/2003	7/1/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	1/28/2004	7/1/2004
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	4/30/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	2/22/2010	3/31/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/7/2001	7/1/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	2/2/1998	12/23/1998
Inactive	Western National Life Insurance Company	300461	Agent - Life	1/9/2004	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	Natcity Insurance Services Inc.	400871	Agent - Life	2/21/2003	7/1/2004