DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hansen, Betty L	DOIID	553746	NAIC NPN	7314860

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/4/2008	9/7/2012
Inactive	Non Resident	Agent	Health	6/4/2008	9/7/2012
* 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 Fidelity Assurance Company	301004	Agent - Health	12/1/2002	1/30/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Life	12/1/2002	1/30/2004
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	8/21/2008	9/7/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	8/21/2008	9/7/2012
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	9/30/2002	2/20/2003
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	9/30/2002	2/20/2003
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	7/20/2005	8/31/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Health	12/16/2002	8/31/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Life	12/16/2002	8/31/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/14/2008	9/7/2012
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	8/21/2008	9/7/2012
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	8/21/2008	9/7/2012
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	12/16/2003	8/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accent Licensed Ins Services LLC	776307	Agent - Health	4/30/2012	9/7/2012
Inactive	Accent Licensed Ins Services LLC	776307	Agent - Life	4/30/2012	9/7/2012
Inactive	QBE First Enterprises LLC	610980	Agent - Health	8/26/2008	3/1/2012
Inactive	QBE First Enterprises LLC	610980	Agent - Life	8/26/2008	3/1/2012