DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Marek, Christine L	DOIID	586030	NAIC NPN	4554569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/11/2004	11/30/2005
Inactive	Non Resident	Agent	Health	3/11/2004	11/30/2005
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/16/2004	11/27/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/16/2004	11/27/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA Inc	608155	Agent - Life	5/19/2005	11/1/2005
Inactive	Marsh USA Inc	608155	Agent - Health	5/19/2005	11/1/2005