DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Erny, Teresa Ann	DOIID	369827	NAIC NPN	257282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/31/1997	3/31/2001
Inactive	Non Resident	Agent	Life	4/28/1997	6/30/2004
Inactive	Non Resident	Agent	Health	4/28/1997	6/30/2004
* 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	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/28/1997	6/30/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/28/1997	6/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sedgwick Claims Management Service Inc	401194	Administrator - Not Applicable	3/31/1997	3/31/2001