DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jessen, Donna Kay	DOIID	516033	NAIC NPN	3226078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/3/2000	7/31/2007
Inactive	Non Resident	Agent	Life	10/3/2000	7/31/2007
* 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 and Accident Insurance Company	301362	Agent - Health	3/11/2005	3/1/2006
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	3/11/2005	3/1/2006
Inactive	Continental Casualty Company	301019	Agent - Health	8/28/2003	12/31/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/7/2004	7/31/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/7/2004	7/31/2007
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/15/2005	8/22/2006
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	10/3/2000	8/30/2004
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	10/3/2000	8/30/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/28/2003	12/31/2003
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/28/2003	12/31/2003

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	2/14/2005	2/21/2006
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	2/14/2005	2/21/2006