DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bush, Suzanne Kimberly	DOIID	608897	NAIC NPN	8472653

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/31/2005	1/1/2011
Inactive	Resident	Agent	Health	5/24/2005	1/1/2011
* 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	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	2/5/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	2/5/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/5/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/5/2007	9/8/2010
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	7/12/2005	4/24/2008
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	12/7/2009	1/12/2011
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	12/7/2009	1/12/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Strategic Employee Benefit Services of Kentucky-Indiana Inc	618184	Agent - Health	11/9/2006	1/8/2009
Inactive	Strategic Employee Benefit Services of Kentucky-Indiana Inc	618184	Agent - Life	11/9/2006	1/8/2009