DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Whelan, Mary Beth	DOIID	588671	NAIC NPN	8058189

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	1/25/2005	7/30/2007
Inactive	Resident	Agent	Life	5/7/2004	7/30/2007
Inactive	Resident	Agent	Health	5/7/2004	7/30/2007
Inactive	Resident	Agent	Property	2/15/2005	7/30/2007
* 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	5/7/2004	1/6/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/7/2004	1/6/2005
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	6/7/2007	6/27/2007
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	6/7/2007	6/27/2007
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/15/2005	8/1/2007
Inactive	State Farm General Insurance Company	301122	Agent - Property	2/15/2005	8/1/2007
Inactive	State Farm Life Insurance Company	301810	Agent - Life	1/25/2005	8/1/2007
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/25/2005	8/1/2007
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	1/25/2005	7/30/2007
Inactive	Time Insurance Company	300683	Agent - Health	4/4/2005	8/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Joe Gottbrath Insurance Agency, Inc.	579447	Agent - Health	1/29/2007	7/30/2007
Inactive	Joe Gottbrath Insurance Agency, Inc.	579447	Agent - Life	1/29/2007	8/1/2007
Inactive	Joe Gottbrath Insurance Agency, Inc.	579447	Agent - Casualty	1/29/2007	8/1/2007
Inactive	Joe Gottbrath Insurance Agency, Inc.	579447	Agent - Property	1/29/2007	8/1/2007