DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Siewertsen, Janice	DOIID	597088	NAIC NPN	8278717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	12/8/2004	6/30/2020
Inactive	Resident	Agent	Health	12/8/2004	6/30/2020
* 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	Cincinnati Life Insurance Company (The)	300601	Agent - Health	1/20/2005	1/9/2009
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	1/20/2005	1/9/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/12/2017	6/30/2020
Inactive	Standard Insurance Company	300185	Agent - Health	10/7/2005	6/30/2020
Inactive	Standard Insurance Company	300185	Agent - Life	10/7/2005	6/30/2020
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	4/26/2012	6/30/2020
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	4/26/2012	6/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National City Insurance Group Inc.	399045	Agent - Health	7/2/2010	7/16/2010
Inactive	National City Insurance Group Inc.	399045	Agent - Life	3/11/2008	7/16/2010
Inactive	Thompson Associates Inc.	398584	Agent - Health	4/14/2005	5/2/2008
Inactive	Thompson Associates Inc.	398584	Agent - Life	4/14/2005	5/2/2008