DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Colvin, Jennifer Kaylene	DOIID	628804	NAIC NPN	8230352

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/17/2007	9/2/2009
Inactive	Resident	Agent	Health	9/17/2007	9/2/2009
Inactive	Resident	Agent	Property	2/25/2008	9/2/2009
Inactive	Resident	Agent	Casualty	2/25/2008	9/2/2009
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/19/2007	9/2/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/19/2007	9/2/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefit Ins Marketing Inc	398449	Agent - Health	10/19/2007	9/2/2009
Inactive	Benefit Ins Marketing Inc	398449	Agent - Life	10/19/2007	9/2/2009