DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bozarth, Bertha Edith	DOIID	374848	NAIC NPN	7202345

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/29/1990	12/1/2000
Inactive	Resident	Agent	Life	10/29/1990	12/1/2000
* 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	Alexander Hamilton Life Insurance Co. of America	301779	Agent - Health	10/29/1990	8/1/2000
Inactive	Alexander Hamilton Life Insurance Co. of America	301779	Agent - Life	10/29/1990	8/1/2000
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	1/25/1999	8/30/2000
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	1/25/1999	8/30/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	10/5/1998	12/30/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	10/5/1998	12/30/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/27/1994	12/23/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/27/1994	12/23/1998
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/5/1997	2/10/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great Financial Services Inc.	399202	Agent - Life	3/4/1996	12/1/2000
Inactive	Great Financial Services Inc.	399202	Agent - Health	3/4/1996	12/1/2000