DEPARTMENT OF INSURANCE

Affiliations

Name	Knutsen, Mary Kathryn	DOIID	572205	NAIC NPN	2845676

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/2/2006	12/31/2012
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Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Disability Reinsurance Management Services Inc.	394470	Administrator - Not Applicable	7/17/2006	12/17/2012