DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wortman, Beth Ellen	DOIID	367887	NAIC NPN	775514

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/13/1997	8/25/2004
Inactive	Non Resident	Agent	Health	5/13/1997	8/25/2004
* 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	Federal Home Life Insurance Company	301302	Agent - Health	5/13/1997	4/23/2003
Inactive	Federal Home Life Insurance Company	301302	Agent - Life	5/13/1997	4/23/2003
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/27/1997	4/23/2003
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/27/1997	4/23/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harvest Insurance Agency Inc. [The]	399952	Agent - Life	7/24/1997	2/16/1999
Inactive	Harvest Insurance Agency Inc. [The]	399952	Agent - Health	7/24/1997	2/16/1999