DEPARTMENT OF INSURANCE

Affiliations

Name	Overall, Merrelene Kay	DOIID	543559	NAIC NPN	1892163

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	12/20/2001	6/1/2010
Inactive	Resident	Agent	Variable Life and Variable Annuities	12/20/2001	6/1/2010
Inactive	Resident	Agent	Health	12/20/2001	6/1/2010
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/2/2004	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/2/2004	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	2/2/2004	6/1/2010
Inactive	American Modern Life Insurance Company	301606	Agent - Life	9/22/2004	6/1/2010
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Health	11/16/2006	12/22/2008
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	11/16/2006	12/22/2008
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/20/2004	6/15/2004
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/20/2004	6/15/2004
Inactive	Continental Casualty Company	301019	Agent - Health	1/6/2003	11/29/2004
Inactive	Delaware Life Insurance Company	301256	Agent - Life	2/8/2002	3/13/2003
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	2/8/2002	12/5/2002
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	9/14/2004	3/3/2005
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/9/2004	2/9/2005
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	9/9/2004	2/9/2005
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	7/11/2005	6/1/2010
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	7/11/2005	6/1/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/26/2004	9/22/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/26/2004	9/22/2009
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	9/9/2004	1/1/2005
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Variable Life and Variable Annuities	9/9/2004	1/1/2005
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	12/3/2003	6/15/2004
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/3/2003	6/15/2004
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/3/2003	6/15/2004
Inactive	Independent Order of Foresters	300743	Agent - Health	8/8/2002	1/21/2005
Inactive	Independent Order of Foresters	300743	Agent - Life	8/8/2002	1/21/2005
Inactive	Independent Order of Foresters	300743	Agent - Variable Life and Variable Annuities	8/8/2002	1/21/2005
Inactive	Integrity Life Insurance Company	301687	Agent - Life	6/13/2002	12/11/2002
Inactive	Integrity Life Insurance Company	301687	Agent - Variable Life and Variable Annuities	6/13/2002	12/11/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/6/2004	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/6/2004	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/1/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/1/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	11/16/2006	12/22/2008
Inactive	MedAmerica Insurance Company	301568	Agent - Health	6/18/2004	3/9/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	9/14/2004	1/30/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	9/14/2004	1/30/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/16/2003	11/25/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/16/2003	11/25/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/26/2004	6/1/2010
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/13/2004	12/16/2004
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/13/2004	6/1/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	4/13/2004	6/1/2010
Inactive	Pacific Life Insurance Company	301848	Agent - Health	5/25/2004	6/1/2010
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/25/2004	7/31/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	12/8/2009	6/1/2010
Inactive	Physicians Life Insurance Company	300924	Agent - Health	4/9/2004	12/11/2006
Inactive	Physicians Life Insurance Company	300924	Agent - Life	4/9/2004	12/11/2006
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	4/9/2004	12/14/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/30/2003	1/9/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/30/2003	1/9/2004
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	1/30/2003	1/9/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Health	2/22/2002	6/1/2010
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/22/2002	6/1/2010
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	2/22/2002	6/1/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Health	2/22/2002	6/1/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/22/2002	6/1/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	2/22/2002	6/1/2010
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	12/20/2001	9/1/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	12/20/2001	9/1/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	12/20/2001	9/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/10/2004	3/7/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	2/6/2004	8/22/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	2/6/2004	8/22/2005
Inactive	United World Life Insurance Company	300532	Agent - Health	7/7/2004	6/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/7/2004	6/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/7/2004	6/1/2010
Inactive	Western National Life Insurance Company	300461	Agent - Life	9/10/2004	2/9/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bernard & Assoc Ins Agency Inc	400840	Agent - Health	2/4/2005	6/1/2010
Inactive	Bernard & Assoc Ins Agency Inc	400840	Agent - Life	2/4/2005	6/1/2010
Inactive	Medlink Inc	400721	Agent - Health	5/13/2004	6/1/2010
Inactive	Medlink Inc	400721	Agent - Life	5/13/2004	6/1/2010
Inactive	Strategic Wealth Designers, LLC	563264	Agent - Health	3/19/2004	8/23/2004
Inactive	Strategic Wealth Designers, LLC	563264	Agent - Life	3/19/2004	8/23/2004
Inactive	Strategic Wealth Designers, LLC	563264	Agent - Variable Life and Variable Annuities	3/19/2004	8/23/2004
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Health	9/10/2004	3/10/2005
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	9/10/2004	3/10/2005
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Variable Life and Variable Annuities	9/10/2004	3/10/2005
Inactive	US Bancorp Investments, Inc.	572662	Agent - Health	9/10/2004	4/15/2009
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	9/10/2004	4/15/2009
Inactive	US Bancorp Investments, Inc.	572662	Agent - Variable Life and Variable Annuities	9/10/2004	4/15/2009