DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Havens, Ellen Sue	DOIID	501337	NAIC NPN	253770

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/2/2003	1/9/2012
Inactive	Non Resident	Agent	Life	12/20/1999	1/9/2012
Inactive	Non Resident	Agent	Health	12/20/1999	1/9/2012
Inactive	Non Resident	Agent	Property	6/2/2003	1/9/2012
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/8/2006	9/19/2008
Inactive	ACE American Insurance Company	300625	Agent - Property	8/8/2006	9/19/2008
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	5/20/2003	5/12/2010
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	5/20/2003	5/12/2010
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	6/2/2003	5/12/2010
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	6/2/2003	5/12/2010
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/6/2006	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/6/2006	11/16/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/2/2009	3/15/2010
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/2/2009	3/15/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/4/2005	1/9/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/20/1999	9/27/2004
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/20/1999	9/27/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	10/22/2001	3/12/2010
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	10/22/2001	3/12/2010
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	4/26/2004	3/12/2010
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	4/26/2004	3/12/2010