DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Disy, Kathie Marie	DOIID	371840	NAIC NPN	2253184

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/28/1998	11/8/2006
Inactive	Non Resident	Agent	Life	12/28/1998	11/8/2006
* 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	American Bankers Life Assurance Company of Florida	300171	Agent - Health	10/13/2000	4/18/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	10/13/2000	4/18/2002
Inactive	American Security Insurance Company	300901	Agent - Health	10/13/2000	4/18/2002
Inactive	Continental Casualty Company	301019	Agent - Health	8/23/2001	9/19/2005
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	5/11/2001	11/12/2003
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	5/11/2001	11/12/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/16/2001	9/18/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/16/2001	9/18/2006
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	1/17/2003	8/23/2006
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/28/1998	11/4/2004
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/28/1998	11/4/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	11/16/2001	9/18/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/16/2001	9/18/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/22/2002	11/4/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/22/2002	11/4/2004
Inactive	Union Security Life Insurance Company	300903	Agent - Health	10/13/2000	4/18/2002
Inactive	Union Security Life Insurance Company	300903	Agent - Life	10/13/2000	4/18/2002
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/23/2001	9/19/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/23/2001	9/19/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	10/22/2001	6/5/2006
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	10/22/2001	6/5/2006