DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Field, Mary Ann	DOIID	641074	NAIC NPN	3098561

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/29/2006	6/30/2010
Inactive	Non Resident	Agent	Health	9/29/2006	6/30/2010
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/15/2006	5/29/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/15/2006	5/29/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/31/2006	6/30/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	11/5/2006	1/30/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	11/5/2006	1/30/2010
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	11/15/2006	5/29/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/15/2006	5/29/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/5/2006	1/30/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/5/2006	1/30/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
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