DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Dora Darleen	DOIID	651944	NAIC NPN	7679337

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/22/2007	3/31/2012
Inactive	Non Resident	Agent	Life	3/22/2007	3/31/2012
* 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	Minnesota Life Insurance Company	300488	Agent - Health	4/27/2010	3/31/2012
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/27/2010	3/31/2012
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/10/2007	3/31/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/17/2007	4/12/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/17/2007	4/12/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/17/2007	4/12/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/17/2007	4/12/2012

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