DEPARTMENT OF INSURANCE

Affiliations

Name	Mardis, Jeanie Marie	DOIID	523629	NAIC NPN	7216912

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	8/1/2001	7/1/2006
Inactive	Resident	Agent	Health	6/26/2001	7/1/2006
Inactive	Resident	Agent	Life	6/26/2001	7/1/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Health	8/29/2001	12/31/2005
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Life	8/29/2001	12/31/2005
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Variable Life and Variable Annuities	8/29/2001	12/31/2005
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	9/7/2001	1/1/2004
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Variable Life and Variable Annuities	9/7/2001	1/1/2004
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	9/4/2001	12/21/2004
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	9/4/2001	12/21/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/14/2001	7/1/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/14/2001	7/1/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	9/14/2001	7/1/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/28/2001	11/28/2005
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	11/28/2001	11/28/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	9/14/2001	12/1/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	9/14/2001	12/1/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	9/14/2001	12/1/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/26/2001	12/27/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/26/2001	12/27/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	8/1/2001	1/7/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/31/2001	12/16/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	8/31/2001	12/16/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/31/2001	7/1/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	8/31/2001	7/1/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Life	9/4/2001	7/1/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	9/4/2001	7/1/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	9/7/2001	2/24/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	9/7/2001	2/24/2004
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	9/11/2001	2/24/2004
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	9/21/2001	7/1/2006
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	9/21/2001	3/31/2003
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	9/6/2001	7/1/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	9/6/2001	7/1/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	10/17/2001	7/1/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	9/6/2001	7/1/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	9/6/2001	7/1/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	10/17/2001	7/1/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	9/7/2001	7/1/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	9/7/2001	7/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	JJB Hilliard, WL Lyons LLC	526305	Agent - Life	7/7/2003	12/7/2005
Inactive	JJB Hilliard, WL Lyons LLC	526305	Agent - Health	7/7/2003	12/7/2005
Inactive	JJB Hilliard, WL Lyons LLC	526305	Agent - Variable Life and Variable Annuities	7/7/2003	12/7/2005