DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shrader, Jan E	DOIID	366353	NAIC NPN	1451041

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/28/1983	7/31/2010
Inactive	Non Resident	Agent	Health	9/28/1983	7/31/2010
* 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	Citizens Security Life Insurance Company	301257	Agent - Health	9/28/1983	7/31/2010
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	9/28/1983	7/31/2010
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	5/7/2001	8/23/2007
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	5/7/2001	8/23/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bratcher Agency Inc.	398874	Agent - Life	9/8/1989	7/31/2010
Inactive	Bratcher Agency Inc.	398874	Agent - Health	9/8/1989	7/31/2010