DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrazana, Susan	DOIID	659455	NAIC NPN	7885204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/9/2011	11/30/2013
Inactive	Non Resident	Agent	Life	2/9/2011	11/30/2013
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/24/2013	12/5/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/24/2013	12/5/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/18/2011	11/30/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/18/2011	11/30/2013
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	3/23/2011	3/12/2012
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	3/23/2011	3/12/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/18/2011	11/30/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/18/2011	11/30/2013