DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	White, Kelli Jobeth	DOIID	629007	NAIC NPN	8752811

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/10/2006	6/1/2011
* 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	American Modern Life Insurance Company	301606	Agent - Life	5/4/2006	9/13/2010
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	6/28/2006	9/30/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	4/25/2006	6/1/2011
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/12/2006	9/22/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/13/2006	12/10/2010
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/13/2006	10/1/2008
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/11/2006	10/15/2010
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/3/2010	6/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	4/13/2006	9/2/2010
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	4/13/2006	9/2/2010