DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Washington, Marie Mary	DOIID	542902	NAIC NPN	3252115

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/20/2001	10/31/2010
Inactive	Non Resident	Agent	Health	12/20/2001	10/31/2010
* 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	American Heritage Life Insurance Company	300272	Agent - Health	3/2/2006	6/23/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/2/2006	6/23/2008
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	3/4/2002	12/9/2010
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	3/4/2002	12/9/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/17/2006	10/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/17/2006	10/31/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/14/2006	10/31/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/14/2006	10/31/2010
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	12/20/2001	2/4/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/20/2001	2/4/2003
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	12/20/2001	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	12/20/2001	6/25/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Farmington Company	534046	Agent - Health	5/8/2003	10/31/2010
Inactive	The Farmington Company	534046	Agent - Life	5/8/2003	10/31/2010