DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Betty Jane	DOIID	597355	NAIC NPN	7454625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/16/2006	9/6/2013
Inactive	Non Resident	Agent	Casualty	10/25/2004	9/6/2013
Inactive	Non Resident	Agent	Life	9/16/2006	9/6/2013
Inactive	Non Resident	Agent	Property	10/25/2004	9/6/2013
* 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	ACE American Insurance Company	300625	Agent - Casualty	12/2/2009	4/23/2013
Inactive	ACE American Insurance Company	300625	Agent - Property	12/2/2009	4/23/2013
Inactive	AMEX Assurance Company	301728	Agent - Casualty	11/18/2004	2/26/2008
Inactive	AMEX Assurance Company	301728	Agent - Property	11/18/2004	2/26/2008
Inactive	Balboa Life Insurance Company	301327	Agent - Health	3/10/2010	5/4/2011
Inactive	Balboa Life Insurance Company	301327	Agent - Life	3/10/2010	5/4/2011
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	12/10/2009	12/28/2011
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	12/10/2009	12/28/2011
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	12/10/2009	12/28/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	6/6/2012	5/23/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	6/6/2012	5/23/2013
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/23/2006	9/6/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	3/12/2008	5/10/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	3/12/2008	5/10/2013
Inactive	Tesla Insurance Company	300337	Agent - Casualty	12/15/2004	3/31/2006
Inactive	Tesla Insurance Company	300337	Agent - Property	12/15/2004	3/31/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/29/2008	5/10/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/29/2008	5/10/2013
Inactive	Union Security Insurance Company	301844	Agent - Health	8/1/2013	9/6/2013
Inactive	Union Security Insurance Company	301844	Agent - Life	8/1/2013	9/6/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	5/9/2005	2/4/2008
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	5/9/2005	2/4/2008
Denied	Financial Insurance Services, Inc.	514710	Agent - Life
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	7/20/2007	2/4/2008
Inactive	Global Contact Services	546831	Agent - Property	4/3/2012	4/23/2013
Inactive	Global Contact Services	546831	Agent - Casualty	4/3/2012	4/23/2013
Inactive	Global Contact Services	546831	Agent - Life	4/3/2012	5/23/2013
Inactive	Global Contact Services	546831	Agent - Health	4/3/2012	9/6/2013