DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Klausing, Debbie Jane	DOIID	564931	NAIC NPN	7618123

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/26/2003	7/1/2004
Inactive	Resident	Agent	Health	3/26/2003	7/1/2004
* 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 Heritage Life Insurance Company	300272	Agent - Health	1/8/2004	7/1/2004
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	1/8/2004	7/1/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/30/2003	7/1/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/30/2003	7/1/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/30/2003	7/1/2004
Inactive	Humana Insurance Company	301104	Agent - Health	7/30/2003	7/1/2004
Inactive	Humana Insurance Company	301104	Agent - Life	7/30/2003	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthinsurancenet.com Inc.	400197	Agent - Health	12/29/2003	7/1/2004
Inactive	Healthinsurancenet.com Inc.	400197	Agent - Life	12/29/2003	7/1/2004
Denied	Preferred Benefits LLC	550000	Agent - Health
Denied	Preferred Benefits LLC	550000	Agent - Life