DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Etta Deree	DOIID	502066	NAIC NPN	3202564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/20/1999	9/30/2010
Inactive	Non Resident	Agent	Health	12/20/1999	9/30/2010
* 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	2/14/2008	9/30/2010
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/14/2008	9/30/2010
Inactive	Balboa Life Insurance Company	301327	Agent - Health	12/1/2004	11/30/2005
Inactive	Balboa Life Insurance Company	301327	Agent - Life	12/1/2004	12/7/2005
Inactive	Gerber Life Insurance Company	300529	Agent - Health	5/1/2007	1/14/2009
Inactive	Gerber Life Insurance Company	300529	Agent - Life	5/1/2007	1/14/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	9/8/2005	1/21/2010
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	9/8/2005	1/21/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/12/2007	11/11/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/12/2007	11/11/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/10/2005	9/30/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	9/28/2004	5/14/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	9/28/2004	5/14/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/28/2004	5/14/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/28/2004	5/14/2010
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	12/20/1999	6/14/2002
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	12/20/1999	6/14/2002
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	2/14/2008	9/30/2010
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	2/14/2008	9/30/2010

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	9/30/2010
Inactive	Americall Corporation	520281	Agent - Health	2/9/2005	9/30/2010