DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Woollum, Kathy M	DOIID	668328	NAIC NPN	3018899

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/14/2007	12/31/2008
Inactive	Non Resident	Agent	Health	11/14/2007	12/31/2008
* 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	Provident Life and Accident Insurance Company	301525	Agent - Health	12/11/2007	12/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/11/2007	12/31/2008
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	12/1/2007	12/31/2008
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	12/1/2007	12/31/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/11/2007	12/31/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/11/2007	12/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	James A Scott & Son Inc	509408	Agent - Life	12/17/2007	12/31/2008
Inactive	James A Scott & Son Inc	509408	Agent - Health	12/17/2007	12/31/2008