DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blalock, Carolyn Kratz	DOIID	571282	NAIC NPN	7722616

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/15/2003	7/1/2006
Inactive	Resident	Agent	Health	7/9/2003	7/1/2006
* 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	Genworth Life Insurance Company	300623	Agent - Health	8/19/2003	7/1/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/19/2003	7/1/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/11/2003	7/1/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/11/2003	7/1/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/28/2003	10/17/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	8/25/2003	2/20/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/22/2003	2/20/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/22/2003	2/20/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	W & R Insurance Agency	398729	Agent - Health	9/3/2003	1/22/2004
Inactive	W & R Insurance Agency	398729	Agent - Life	9/3/2003	1/22/2004