DEPARTMENT OF INSURANCE

Affiliations

Name	Partnervest Ins Group Llc	DOIID	592338	NAIC NPN	7494744

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/14/2004	3/31/2012
Inactive	Non Resident	Agent	Health	7/14/2004	6/14/2008
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	7/14/2004	4/3/2007
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/12/2006	6/14/2008
Inactive	Humana Insurance Company	301104	Agent - Health	5/12/2006	6/14/2008
Inactive	Humana Insurance Company	301104	Agent - Life	5/12/2006	3/31/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/9/2004	6/14/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/9/2004	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/22/2008	3/31/2012
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	8/10/2005	6/14/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	8/10/2005	3/31/2012
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	8/10/2005	4/3/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/26/2004	6/14/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/26/2004	3/31/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	7/26/2004	4/3/2007
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	12/7/2006	6/14/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/7/2006	11/5/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	12/7/2006	4/3/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	8/6/2004	6/14/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/6/2004	3/31/2012
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	8/6/2004	4/3/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	8/6/2004	6/14/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	8/6/2004	3/31/2012
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	8/6/2004	4/3/2007
Inactive	West Coast Life Insurance Company	301607	Agent - Life	11/9/2004	11/16/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burton, Marcy Sheer	590231	Agent - Health	4/2/2007	6/7/2008
Inactive	Burton, Marcy Sheer	590231	Agent - Life	4/2/2007	3/31/2012
Denied	Burton, Marcy Sheer	590231	Agent - Variable Life and Variable Annuities
Inactive	Stephens, Marilee A	590302	Agent - Health	7/14/2004	4/2/2007
Inactive	Stephens, Marilee A	590302	Agent - Life	7/14/2004	4/2/2007
Inactive	Stephens, Marilee A	590302	Agent - Variable Life and Variable Annuities	7/14/2004	4/2/2007