DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Willard, Jeanne R	DOIID	567082	NAIC NPN	7650264

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	6/4/2003	9/1/2009
Inactive	Resident	Agent	Limited Line Credit	5/17/2010	8/31/2017
* 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	Everlake Life Insurance Company	300873	Agent - Life	3/1/2005	3/26/2009
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/17/2010	8/31/2017
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	6/12/2003	3/26/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	6/12/2003	12/16/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/12/2003	12/16/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	8/2/2006	3/26/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/10/2004	8/3/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	4/5/2005	9/1/2009
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/9/2003	3/25/2009
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/3/2008	3/23/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizens Union Bank of Shelbyville	398748	Agent - Limited Line Credit	7/22/2010	8/31/2017
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	4/27/2004	9/1/2009