DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dean, Nina Fay	DOIID	384896	NAIC NPN	520733

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/19/1996	6/10/2004
Inactive	Non Resident	Agent	Health	6/19/1996	6/10/2004
* 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	Everlake Life Insurance Company	300873	Agent - Life	1/29/2001	4/1/2003
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/3/2003	6/10/2004
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/4/2003	6/10/2004
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	1/28/2002	6/10/2004
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	10/16/2003	6/10/2004
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	10/16/2003	6/10/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Health	5/22/2001	6/10/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	5/22/2001	2/13/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Life	11/27/2001	6/10/2004
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Health	6/19/1996	6/10/2004
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Life	6/19/1996	10/14/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Health	7/5/2001	10/22/2003
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	7/5/2001	10/22/2003