DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Messal, Anita Marie Quamme	DOIID	600363	NAIC NPN	1547711

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/1/2017	9/30/2021
Inactive	Non Resident	Agent	Life	12/27/2004	9/30/2021
Inactive	Non Resident	Agent	Health	12/27/2004	9/30/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/15/2015	9/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/15/2015	9/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/15/2015	9/30/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/13/2016	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/13/2016	10/5/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/6/2016	9/30/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/6/2016	9/30/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/22/2014	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/22/2014	9/9/2015
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	10/30/2014	9/30/2021
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	10/30/2014	9/30/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/22/2014	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/22/2014	9/9/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/10/2005	5/19/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/10/2005	5/19/2017
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/10/2005	5/19/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/10/2005	5/19/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Plansource Benefits Administration, Inc.	708356	Agent - Life	4/25/2013	9/30/2021
Inactive	Plansource Benefits Administration, Inc.	708356	Agent - Health	4/25/2013	9/30/2021
Inactive	Plansource Benefits Administration, Inc.	708356	Administrator - Not Applicable	6/15/2017	9/30/2021