DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jepson, Ethel Marie	DOIID	501187	NAIC NPN	2832572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/10/2000	12/8/2003
Inactive	Non Resident	Agent	Life	1/10/2000	12/8/2003
* 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 Bankers Life Assurance Company of Florida	300171	Agent - Health	1/10/2000	11/8/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	1/10/2000	11/18/2002
Inactive	American Security Insurance Company	300901	Agent - Health	9/21/2001	11/18/2002
Inactive	Union Security Life Insurance Company	300903	Agent - Health	9/21/2001	11/18/2002
Inactive	Union Security Life Insurance Company	300903	Agent - Life	9/21/2001	11/18/2002
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/18/2001	11/24/2003
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/18/2001	11/24/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	7/31/2000	3/17/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	7/31/2000	3/17/2003