DEPARTMENT OF INSURANCE

Affiliations

Name	Neace, Polly A	DOIID	547297	NAIC NPN	7224951

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	8/15/2003	5/1/2012
Inactive	Resident	Agent	Life	6/21/2002	5/1/2012
Inactive	Resident	Agent	Health	10/4/2002	5/1/2012
* 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	Augustar Life Insurance Company	301816	Agent - Life	7/22/2002	11/29/2007
Inactive	Delaware Life Insurance Company	301256	Agent - Life	4/6/2009	11/16/2011
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	4/6/2009	11/16/2011
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	7/22/2002	12/9/2010
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	11/8/2006	11/4/2008
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	11/8/2006	11/4/2008
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/20/2003	9/29/2010
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	7/11/2003	1/1/2005
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/12/2002	8/3/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/12/2002	8/3/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/13/2003	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/13/2003	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/2/2008	12/24/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/2/2008	12/24/2010
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	10/26/2010	11/29/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2009	12/24/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2009	12/24/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	4/2/2009	12/24/2010
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	4/27/2006	5/7/2010
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	4/27/2006	5/7/2010
Inactive	MetLife Investors Insurance Company	301872	Agent - Variable Life and Variable Annuities	4/27/2006	5/7/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	4/27/2006	5/1/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	4/27/2006	5/1/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	4/27/2006	5/1/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/27/2006	5/1/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/27/2006	5/1/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	4/27/2006	5/1/2012
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	10/14/2003	11/18/2010
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	10/14/2003	11/18/2010
Inactive	Pacific Life Insurance Company	301848	Agent - Life	8/21/2009	12/24/2010
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	8/21/2009	12/24/2010
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/11/2006	12/24/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/19/2002	11/23/2009
Inactive	State Life Insurance Company	301497	Agent - Health	3/29/2007	5/1/2012
Inactive	State Life Insurance Company	301497	Agent - Life	3/29/2007	5/1/2012
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/11/2003	10/12/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/11/2003	10/12/2006
Denied	Transamerica Life Insurance Company	300571	Agent - Health
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/21/2002	12/29/2010
Inactive	Western National Life Insurance Company	300461	Agent - Life	8/1/2002	12/22/2009
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	3/4/2010	5/1/2012
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/4/2010	5/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Health	3/10/2005	11/15/2010
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	3/10/2005	11/15/2010
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Variable Life and Variable Annuities	5/17/2010	11/15/2010
Inactive	US Bancorp Investments, Inc.	572662	Agent - Health	12/18/2003	11/15/2010
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	12/18/2003	11/15/2010