DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Siegers, Etsuko	DOIID	656061	NAIC NPN	2580530

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/29/2007	4/7/2016
Inactive	Non Resident	Agent	Life	5/29/2007	4/7/2016
* 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.	300694	Agent - Health	10/29/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	4/7/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/29/2007	4/7/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/29/2007	4/7/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	11/12/2007	4/7/2016
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	11/12/2007	4/7/2016