DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Obrien, Terrie G	DOIID	545747	NAIC NPN	2141732

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/14/2006	7/31/2009
Inactive	Non Resident	Agent	Life	6/14/2006	7/31/2009
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/5/2008	7/31/2009
Inactive	Combined Insurance Company of America	301472	Agent - Health	2/27/2002	9/30/2003
Inactive	Combined Insurance Company of America	301472	Agent - Life	2/27/2002	9/30/2003
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/23/2006	6/4/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/7/2007	7/16/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/7/2007	7/16/2009
Inactive	Revol One Insurance Company	300681	Agent - Health	3/5/2008	7/31/2009
Inactive	Revol One Insurance Company	300681	Agent - Life	3/5/2008	7/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	America Direct Ins Agency Inc	619155	Agent - Health
Inactive	America Direct Ins Agency Inc	619155	Agent - Life	1/23/2007	6/12/2009