PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameGroom, Carol AnnDOIID562811NAIC NPN579407
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife2/6/20031/31/2009 
InactiveNon ResidentAgentHealth2/6/20031/31/2009 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBoston Mutual Life Insurance Company300143Agent - Health3/5/20031/31/2009
InactiveBoston Mutual Life Insurance Company300143Agent - Life3/5/20031/31/2009
InactiveKanawha Insurance Company300127Agent - Health4/20/20051/31/2009
InactiveKanawha Insurance Company300127Agent - Life4/20/20051/31/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/16/20061/31/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/16/20061/31/2009
InactiveReliaStar Life Insurance Company301712Agent - Health2/6/20031/31/2009
InactiveReliaStar Life Insurance Company301712Agent - Life2/6/20031/31/2009
InactiveReliaStar Life Insurance Company of New York301018Agent - Health2/6/20036/25/2008
InactiveReliaStar Life Insurance Company of New York301018Agent - Life2/6/20036/25/2008
InactiveTrustmark Insurance Company300317Agent - Health6/5/20051/31/2009
InactiveTrustmark Insurance Company300317Agent - Life6/5/20051/31/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveThe Farmington Company534046Agent - Health8/18/20031/31/2009
InactiveThe Farmington Company534046Agent - Life8/18/20031/31/2009

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