DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bartelt, Letitia	DOIID	583077	NAIC NPN	4558111

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/16/2004	12/31/2008
Inactive	Non Resident	Agent	Life	1/16/2004	12/31/2008
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	2/9/2004	12/31/2008
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	2/9/2004	12/31/2008
Inactive	HM Life Insurance Company	301408	Agent - Health	4/7/2006	12/31/2008
Inactive	HM Life Insurance Company	301408	Agent - Life	4/7/2006	12/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/16/2004	12/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/16/2004	12/31/2008
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	2/13/2006	12/31/2008
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	2/13/2006	12/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	12/15/2006	3/4/2008
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	12/15/2006	3/4/2008