DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bass, Cynthia Ann	DOIID	541928	NAIC NPN	3104572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/28/2001	11/8/2004
Inactive	Non Resident	Agent	Property	11/28/2001	11/8/2004
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	11/28/2001	11/8/2004
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	11/28/2001	11/8/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	11/28/2001	11/8/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	11/28/2001	11/8/2004
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	11/28/2001	11/8/2004
Inactive	The Phoenix Insurance Company	301502	Agent - Property	11/28/2001	11/8/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	1/21/2004	11/8/2004
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	1/21/2004	11/8/2004