DEPARTMENT OF INSURANCE

Affiliations

Name	Vanderbilt-Shifflet, Cari Sue	DOIID	623269	NAIC NPN	8685049

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/4/2006	11/1/2007
Inactive	Resident	Agent	Life	4/4/2006	11/1/2007
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Employee Benefits Administrators, Inc.	401273	Agent - Health
Denied	Employee Benefits Administrators, Inc.	401273	Agent - Life