DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jaques, Rosa Maria	DOIID	523645	NAIC NPN	3471830

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/23/2001	5/31/2011
Inactive	Non Resident	Agent	Health	3/23/2001	5/31/2011
* 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	Minnesota Life Insurance Company	300488	Agent - Health	3/23/2001	5/28/2010
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/23/2001	5/28/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/8/2006	5/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Securian Financial Network, Inc	400561	Agent - Life	6/18/2004	5/28/2010
Inactive	Securian Financial Network, Inc	400561	Agent - Health	6/18/2004	5/31/2011