DEPARTMENT OF INSURANCE

Affiliations

Name	Maxwell-Jones, Melodie	DOIID	524383	NAIC NPN	3398996

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	4/5/2001	1/27/2004
Inactive	Non Resident	Agent	Life	4/5/2001	1/27/2004
Inactive	Non Resident	Agent	Health	4/5/2001	1/27/2004
* 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	Ameritas Variable Life Insurance Company	300665	Agent - Health	4/5/2001	2/5/2003
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	4/5/2001	2/5/2003
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Variable Life and Variable Annuities	4/5/2001	2/5/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Health	8/20/2001	1/27/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Life	8/20/2001	1/27/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	8/20/2001	1/27/2004
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Variable Life and Variable Annuities	8/27/2001	1/27/2004
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	8/20/2001	10/16/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	8/20/2001	10/16/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Variable Life and Variable Annuities	8/20/2001	10/16/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	8/20/2001	1/27/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/20/2001	1/27/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	8/20/2001	1/27/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	9/4/2001	1/27/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	9/4/2001	1/27/2004
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	8/22/2001	1/27/2004
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	8/22/2001	1/27/2004
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Variable Life and Variable Annuities	8/22/2001	1/27/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United Securities Alliance, Inc.	524470	Agent - Health	4/5/2001	10/14/2002
Inactive	United Securities Alliance, Inc.	524470	Agent - Life	4/5/2001	10/14/2002
Inactive	United Securities Alliance, Inc.	524470	Agent - Variable Life and Variable Annuities	4/5/2001	10/14/2002