DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lay, Dorothy W	DOIID	632882	NAIC NPN	718728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/26/2006	2/29/2024
Inactive	Non Resident	Agent	Casualty	1/12/2007	2/29/2024
Inactive	Non Resident	Agent	Property	1/12/2007	2/29/2024
Inactive	Non Resident	Agent	Health	5/26/2006	2/29/2024
* 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	ACE American Insurance Company	300625	Agent - Casualty	2/13/2007	2/13/2010
Inactive	ACE American Insurance Company	300625	Agent - Property	2/13/2007	2/13/2010
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/5/2015	8/20/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Health	11/12/2015	8/9/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	11/12/2015	8/9/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/8/2006	5/26/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/8/2006	5/26/2008
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	9/20/2021	8/9/2022
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	6/30/2006	2/29/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	9/15/2016	4/17/2017
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	7/6/2006	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	7/6/2006	10/1/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/4/2011	12/28/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/4/2011	12/28/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/6/2006	2/9/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/6/2006	2/9/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Telespectrum Inc	604670	Agent - Life	4/6/2007	3/31/2009
Inactive	Telespectrum Inc	604670	Agent - Health	4/6/2007	3/31/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Life	12/8/2008	1/27/2010
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Health	12/8/2008	1/27/2010
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Property	12/8/2008	1/27/2010
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Casualty	12/8/2008	1/27/2010