DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Siracuse, Joan Camille	DOIID	510863	NAIC NPN	416294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/13/2000	11/30/2005
Inactive	Non Resident	Agent	Life	11/13/2000	11/30/2005
* 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	Balboa Life Insurance Company	301327	Agent - Health	11/13/2000	8/29/2005
Inactive	Balboa Life Insurance Company	301327	Agent - Life	11/13/2000	8/29/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Health	7/12/2004	11/30/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Life	7/12/2004	11/30/2005
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/1/2005	11/30/2005
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/1/2005	11/30/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/20/2002	9/22/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/20/2002	9/22/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Life	1/16/2004	8/29/2005
Inactive	Balboa Insurance Services Inc.	516610	Agent - Health	1/16/2004	8/29/2005
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Life	1/16/2004	8/29/2005
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Health	1/16/2004	8/29/2005