DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Palmer, Todd Z	DOIID	651868	NAIC NPN	8611854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/21/2007	4/30/2014
Inactive	Non Resident	Agent	Health	3/21/2007	4/30/2014
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	1/7/2010	4/30/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/7/2010	4/30/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/7/2010	4/30/2014
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/11/2008	9/23/2012
Inactive	Companion Life Insurance Company	300191	Agent - Life	3/11/2008	9/23/2012
Inactive	Life Insurance Company of North America	300711	Agent - Health	12/7/2009	4/30/2014
Inactive	Life Insurance Company of North America	300711	Agent - Life	12/7/2009	4/30/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/7/2012	5/15/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/7/2012	5/15/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefit Guaranty LLC	595049	Agent - Health	3/9/2009	4/30/2014
Inactive	Benefit Guaranty LLC	595049	Agent - Life	3/9/2009	4/30/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/31/2012	5/15/2013
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	1/31/2012	5/15/2013