DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mealy, Camilla Rene'	DOIID	585131	NAIC NPN	8011067

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/15/2004	11/12/2005
Inactive	Resident	Agent	Health	3/15/2004	11/12/2005
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/15/2004	5/24/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/15/2004	5/24/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	9/29/2004	5/31/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/29/2004	5/31/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Health	9/3/2004	5/31/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Life	9/3/2004	5/31/2005
Inactive	Time Insurance Company	300683	Agent - Health	10/7/2004	11/12/2005
Inactive	Time Insurance Company	300683	Agent - Life	10/7/2004	11/12/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	10/15/2004	11/12/2005
Inactive	Medlink Inc	400721	Agent - Life	10/15/2004	11/12/2005