DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hackett Valine & Macdonald Inc.	DOIID	398676	NAIC NPN	686298

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/26/1999	3/31/2017
Inactive	Non Resident	Agent	Property	4/9/2007	3/31/2017
Inactive	Non Resident	Agent	Casualty	4/9/2007	3/31/2017
Inactive	Non Resident	Agent	Health	7/26/1999	3/31/2017
* 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	American General Life Insurance Company of Delaware	301057	Agent - Health	2/24/2005	3/8/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/24/2005	3/8/2007
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	3/18/2009	3/31/2017
Inactive	Encompass Indemnity Company	546376	Agent - Property	3/18/2009	3/31/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	3/18/2009	3/31/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Property	3/18/2009	3/31/2017
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Health	2/28/2008	3/31/2017
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	2/28/2008	3/31/2017
Inactive	MEMIC Indemnity Company	621176	Agent - Casualty	4/4/2008	12/20/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	7/26/1999	12/2/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	7/26/1999	12/2/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Allen, David C	680315	Agent - Casualty
Denied	Allen, David C	680315	Agent - Property
Inactive	Austin, Edward Lucas	391882	Agent - Casualty	4/9/2007	3/18/2009
Inactive	Austin, Edward Lucas	391882	Agent - Property	4/9/2007	3/18/2009
Inactive	Ford, Timothy E	311094	Agent - Health	7/26/1999	9/30/2013
Inactive	Ford, Timothy E	311094	Agent - Life	7/26/1999	9/30/2013
Inactive	Straw, Michele	348233	Agent - Health	7/26/1999	2/24/2003
Inactive	Straw, Michele	348233	Agent - Life	7/26/1999	2/24/2003
Denied	Waller, Lori A	693358	Agent - Casualty
Denied	Waller, Lori A	693358	Agent - Property
Inactive	Walsh, Michael T	680314	Agent - Casualty	3/18/2009	3/31/2017
Inactive	Walsh, Michael T	680314	Agent - Health	12/12/2013	3/31/2017
Inactive	Walsh, Michael T	680314	Agent - Life	12/12/2013	3/31/2017
Inactive	Walsh, Michael T	680314	Agent - Property	3/18/2009	3/31/2017