DEPARTMENT OF INSURANCE

Affiliations

Name	Dallolio-Crotty, Laura J	DOIID	365475	NAIC NPN	697939

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/16/1994	7/1/2006
Inactive	Resident	Agent	Life	5/16/1994	7/1/2006
* 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	2/24/2006	7/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/24/2006	7/1/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/17/1997	10/15/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/17/1997	10/15/1998
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Health	10/14/1994	7/22/1996
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Life	10/14/1994	7/22/1996
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/9/1997	10/14/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Health	10/19/1999	7/1/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/19/1999	7/1/2006
Inactive	Delaware Life Insurance Company	301256	Agent - Life	3/21/1995	10/18/1996
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	6/12/1996	4/15/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	2/13/1997	10/18/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/13/1997	10/18/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/11/1996	12/28/1998
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	10/14/1994	7/22/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	10/14/1994	7/22/1996
Inactive	Humana Insurance Company	301104	Agent - Health	7/13/1994	12/9/1997
Inactive	Humana Insurance Company	301104	Agent - Life	7/13/1994	12/9/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/25/1995	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/25/1995	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	8/19/1997	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	8/19/1997	8/2/2002
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	11/16/1999	7/1/2006
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	11/16/1999	7/1/2006
Inactive	MONY Life Insurance Company	301141	Agent - Health	6/12/1996	4/15/1999
Inactive	MONY Life Insurance Company	301141	Agent - Life	6/12/1996	4/15/1999
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/19/1999	7/1/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/19/1999	7/1/2006
Inactive	Midland National Life Insurance Company	300923	Agent - Life	6/27/1995	3/31/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	10/20/1994	3/17/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	10/20/1994	3/17/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/16/1994	6/3/1999
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/16/1994	6/3/1999
Inactive	Standard Insurance Company	300185	Agent - Health	6/22/1998	7/1/2006
Inactive	Standard Insurance Company	300185	Agent - Life	6/22/1998	7/1/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	3/24/1995	10/15/1996
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	3/24/1995	10/15/1996
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	3/24/1995	10/15/1996
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	3/24/1995	10/15/1996
Inactive	Transamerica Assurance Company	300893	Agent - Health	7/15/1997	7/15/1997
Inactive	Transamerica Assurance Company	300893	Agent - Life	7/15/1997	7/15/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	7/11/1997	7/1/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/11/1997	7/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chenault & Hoge Inc.	399707	Agent - Life	12/6/1996	2/5/2004
Inactive	Chenault & Hoge Inc.	399707	Agent - Health	12/6/1996	2/5/2004
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997