DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tatum, Nancy Jenet	DOIID	382465	NAIC NPN	4958978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/21/2006	10/1/2007
Inactive	Non Resident	Agent	Life	8/30/2013	5/2/2014
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/19/2007	10/1/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/19/2007	10/1/2007
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	3/23/2009	9/2/2010
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	2/28/2008	2/28/2011
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/8/2008	2/28/2011
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	9/25/2007	10/1/2007
Inactive	Independent Order of Foresters	300743	Agent - Life	3/30/2009	2/28/2011
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	11/21/2006	2/28/2007
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	8/22/1995	2/28/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	12/28/2004	2/28/2007