DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gries, Teri M	DOIID	553625	NAIC NPN	3315693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/6/2002	6/14/2005
Inactive	Non Resident	Agent	Health	9/6/2002	6/14/2005
Inactive	Non Resident	Agent	Life	9/6/2002	6/14/2005
Inactive	Non Resident	Agent	Casualty	9/6/2002	6/14/2005
* 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	Cincinnati Insurance Company	301298	Agent - Casualty	9/6/2002	11/2/2004
Inactive	Cincinnati Insurance Company	301298	Agent - Property	9/6/2002	11/2/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	9/6/2002	11/2/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	9/6/2002	11/2/2004
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/24/2003	6/14/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/5/2003	6/14/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/5/2003	6/14/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/15/2002	6/14/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/15/2002	6/14/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	10/15/2002	6/14/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	10/15/2002	6/14/2005
Inactive	Time Insurance Company	300683	Agent - Health	7/9/2003	11/3/2004
Inactive	Time Insurance Company	300683	Agent - Life	7/9/2003	11/3/2004
Inactive	West Coast Life Insurance Company	301607	Agent - Health	1/13/2003	6/14/2005
Inactive	West Coast Life Insurance Company	301607	Agent - Life	1/13/2003	6/14/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HUB International Midwest Limited	398717	Agent - Casualty	1/12/2004	11/2/2004
Inactive	HUB International Midwest Limited	398717	Agent - Health	1/12/2004	1/13/2005
Inactive	HUB International Midwest Limited	398717	Agent - Life	1/12/2004	1/13/2005
Inactive	HUB International Midwest Limited	398717	Agent - Property	1/12/2004	11/2/2004