DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Azman, Kathleen M	DOIID	615431	NAIC NPN	1436079

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/28/2005	9/30/2017
* 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 Insurance Company	301583	Agent - Health	9/20/2013	9/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/20/2013	9/30/2017
Inactive	Imperium Insurance Company	300804	Agent - Health	4/18/2007	11/8/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Usi Insurance Services LLC	669260	Agent - Health	12/30/2016	1/23/2017