DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Nancy Sue	DOIID	389277	NAIC NPN	7208595

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	12/23/1998	7/1/2002
Inactive	Resident	Agent	Health Maintenance Organization	3/12/1999	3/1/2001
Inactive	Resident	Agent	Health	12/23/1998	7/1/2002
Inactive	Resident	Agent	Prepaid Dental Plan	3/22/1999	3/1/2001
* 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	Citizens Security Life Insurance Company	301257	Agent - Health	3/1/1999	7/1/2002
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	3/1/1999	7/1/2002
Inactive	DentiCare, Inc.	300655	Agent - Health	3/1/2001	7/1/2002
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	3/22/1999	3/1/2001
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/1/1999	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/12/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	3/12/1999	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Life	3/12/1999	7/1/2002
Inactive	Medical Life Insurance Company	300693	Agent - Health	5/10/1999	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	5/10/1999	12/31/2004
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	4/7/1999	12/7/2000
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	12/23/1998	12/7/2000
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	12/23/1998	12/7/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/17/1999	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/17/1999	7/1/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/22/1999	7/1/2002
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/22/1999	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/15/1999	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/15/1999	7/1/2002
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	3/22/1999	7/1/2002
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	3/22/1999	7/1/2002
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	7/1/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	7/1/2002
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	6/7/1999	5/22/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	6/7/1999	5/22/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	KMA Insurance Agency Inc.	401270	Agent - Life	4/5/1999	7/1/2002
Inactive	KMA Insurance Agency Inc.	401270	Agent - Health	4/5/1999	7/1/2002