DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Busch, Debora Mary	DOIID	543440	NAIC NPN	6699014

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/28/2001	5/31/2005
Inactive	Non Resident	Agent	Life	12/28/2001	5/31/2005
* 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	Metropolitan Life Insurance Company	301948	Agent - Health	12/28/2001	7/30/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/28/2001	7/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CBIZ Benefits & Ins Services Inc	514101	Agent - Health
Denied	CBIZ Benefits & Ins Services Inc	514101	Agent - Life