DEPARTMENT OF INSURANCE

Affiliations

Name	Ballard, Carole Jeane	DOIID	545270	NAIC NPN	6543762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/12/2002	5/31/2013
Inactive	Non Resident	Agent	Health	3/12/2002	5/31/2013
* 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 General Life Insurance Company	301585	Agent - Health	3/31/2005	2/6/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	3/31/2005	2/6/2013
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/23/2002	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/23/2002	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	11/4/2002	12/18/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	11/4/2002	12/18/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/8/2004	12/14/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/8/2004	12/14/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/7/2002	10/19/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	8/18/2007
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/7/2002	10/1/2003
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	8/15/2003	12/13/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/8/2004	7/20/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/8/2004	7/20/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2005	12/22/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	12/22/2010
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Health	3/12/2002	10/1/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	3/12/2002	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	3/12/2002	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	3/12/2002	10/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assn Group Ins Administrators	518628	Agent - Health	9/2/2010	2/6/2013
Inactive	Assn Group Ins Administrators	518628	Agent - Life	9/2/2010	2/6/2013