DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tooley, Donna Rose	DOIID	369454	NAIC NPN	7199923

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/5/1994	8/16/1997
Inactive	Resident	Agent	Life	4/5/1994	8/16/1997
* 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 Republic Insurance Company	300861	Agent - Health	4/5/1994	8/16/1997
Inactive	American Republic Insurance Company	300861	Agent - Life	4/5/1994	8/16/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	3/14/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	3/14/1996	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	6/3/1994	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	6/3/1994	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/6/1994	8/16/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/6/1994	8/16/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	10/26/1994	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	6/2/1994	1/2/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	6/2/1994	1/2/1997
Inactive	USG Annuity & Life Company	300457	Agent - Life	4/21/1994	8/16/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Life	6/22/1994	8/16/1997
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Health	6/22/1994	8/16/1997