DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Tonia Gail	DOIID	516548	NAIC NPN	1890707

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/21/2001	7/1/2004
Inactive	Resident	Agent	Life	2/21/2001	7/1/2004
* 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	Avemco Insurance Company	300669	Agent - Health	7/28/2003	7/1/2004
Inactive	HCC Life Insurance Company	301827	Agent - Health	7/28/2003	7/1/2004
Inactive	HCC Life Insurance Company	301827	Agent - Life	7/28/2003	7/1/2004
Inactive	HM Life Insurance Company	301408	Agent - Health	2/21/2001	3/25/2003
Inactive	HM Life Insurance Company	301408	Agent - Life	2/21/2001	3/25/2003
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	5/2/2003	7/1/2004
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	5/2/2003	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Preferred Health Plan Inc.	397836	Agent - Health	6/27/2003	7/1/2004