DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Katherine Ann	DOIID	577790	NAIC NPN	7660768

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/10/2003	9/30/2006
Inactive	Non Resident	Agent	Health	11/10/2003	9/30/2006
* 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	Balboa Life Insurance Company	301327	Agent - Health	12/3/2004	12/1/2005
Inactive	Balboa Life Insurance Company	301327	Agent - Life	12/3/2004	12/7/2005
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	9/12/2005	10/26/2005
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	9/12/2005	10/26/2005
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	10/27/2004	9/30/2006
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	10/27/2004	10/17/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/18/2004	1/12/2006
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	11/10/2003	10/20/2005
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	11/10/2003	10/20/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/11/2003	10/20/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/11/2003	10/20/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Americall Corporation	520281	Agent - Health	2/9/2005	9/30/2006
Inactive	Americall Corporation	520281	Agent - Life	2/9/2005	12/7/2005