DEPARTMENT OF INSURANCE

Affiliations

Name	Seivright, Dorothy Anne	DOIID	501194	NAIC NPN	436330

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/10/2000	2/28/2011
Inactive	Non Resident	Agent	Life	1/10/2000	2/28/2011
* 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 Assurance Company	300586	Agent - Health	9/12/2003	12/2/2004
Inactive	American General Assurance Company	300586	Agent - Life	9/12/2003	12/2/2004
Inactive	Continental Casualty Company	301019	Agent - Health	11/13/2001	12/28/2005
Inactive	Everlake Life Insurance Company	300873	Agent - Health	8/14/2000	6/29/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	8/14/2000	6/29/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/22/2000	11/29/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/22/2000	11/29/2004
Inactive	Liberty Life Insurance Company	301542	Agent - Health	1/10/2000	11/11/2004
Inactive	Liberty Life Insurance Company	301542	Agent - Life	1/10/2000	11/11/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	11/24/2004	5/23/2005
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	11/24/2004	5/23/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/15/2004	2/28/2011
Inactive	Sears Life Insurance Company	300218	Agent - Health	12/2/2004	5/14/2005
Inactive	Sears Life Insurance Company	300218	Agent - Life	12/2/2004	5/14/2005
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/11/2006	10/15/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/11/2006	10/15/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	6/22/2000	11/24/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	6/22/2000	11/24/2004
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	3/5/2001	10/12/2004
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	3/5/2001	10/12/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	11/13/2001	12/28/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	11/13/2001	12/28/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Americall Corporation	520281	Agent - Life	2/9/2005	12/28/2005
Inactive	Americall Corporation	520281	Agent - Health	2/9/2005	2/27/2007