DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Schremp, Marion B	DOIID	505269	NAIC NPN	420692

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/10/2000	11/16/2018
Inactive	Non Resident	Agent	Life	4/10/2000	11/16/2018
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/12/2009	2/19/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/12/2009	2/19/2013
Inactive	HM Life Insurance Company	301408	Agent - Health	4/10/2000	3/28/2003
Inactive	HM Life Insurance Company	301408	Agent - Life	4/10/2000	3/28/2003
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	12/2/2002	4/6/2004
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	12/2/2002	4/6/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/16/2002	11/16/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/16/2002	11/16/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/16/2002	11/16/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/16/2002	11/16/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIZ Benefits & Ins Services Inc	514101	Agent - Life	8/5/2011	6/15/2018
Inactive	CBIZ Benefits & Ins Services Inc	514101	Agent - Health	8/5/2011	6/15/2018