DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fields, Teresa Lynn	DOIID	547958	NAIC NPN	7225134

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	6/11/2002	10/31/2006
Inactive	Resident	Agent	Property	6/11/2002	10/31/2006
* 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	AIG Assurance Company	300897	Agent - Casualty	10/13/2003	7/19/2006
Inactive	AIG Assurance Company	300897	Agent - Property	10/13/2003	7/19/2006
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	7/19/2006
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	7/19/2006
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/1/2003	7/19/2006
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/1/2003	7/19/2006
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	6/11/2002	10/27/2003
Inactive	Kentucky National Insurance Company	301625	Agent - Property	6/11/2002	10/27/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mountain Valley Insurance of Manchester Inc.	400131	Agent - Casualty	3/3/2003	7/19/2006
Inactive	Mountain Valley Insurance of Manchester Inc.	400131	Agent - Property	3/3/2003	7/19/2006