DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Herman, Annalise M	DOIID	579297	NAIC NPN	7871310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/22/2003	12/4/2015
Inactive	Non Resident	Agent	Casualty	10/22/2003	12/4/2015
Inactive	Non Resident	Agent	Property	10/22/2003	12/4/2015
Inactive	Non Resident	Agent	Health	10/22/2003	12/4/2015
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	6/18/2008	9/8/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/18/2008	9/8/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/18/2008	9/8/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/15/2004	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	4/15/2004	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	4/15/2004	9/8/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aon Insurance Agency LLC	516101	Agent - Casualty
Denied	Aon Insurance Agency LLC	516101	Agent - Property
Denied	Aon Insurance Agency LLC	516101	Agent - Life