DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Orr, Betty Ann	DOIID	381373	NAIC NPN	2474391

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	2/23/2000	12/3/2013
Inactive	Non Resident	Agent	Life	12/3/1999	12/3/2013
Inactive	Non Resident	Agent	Health	12/3/1999	12/3/2013
* 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	United States Life Insurance Company in the City of New York	301126	Agent - Health	10/29/2008	12/3/2013
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	10/29/2008	12/3/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dan Services Inc	505500	Agent - Life	5/28/2002	10/27/2008
Inactive	Dan Services Inc	505500	Agent - Health	5/28/2002	10/27/2008
Inactive	Dan Services Inc	505500	Administrator - Not Applicable	2/23/2000	12/3/2013