DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Vandereit Jr, Daniel Lee	DOIID	669923	NAIC NPN	8329257

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/5/2007	2/28/2010
Inactive	Non Resident	Agent	Life	12/5/2007	2/28/2010
* 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	Anthem Life Insurance Company	301209	Agent - Health	3/24/2008	2/28/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/24/2008	2/28/2010
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	1/18/2008	2/28/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Haberstroh Insurance Agency Inc	677010	Agent - Health	3/28/2008	2/28/2010
Inactive	Haberstroh Insurance Agency Inc	677010	Agent - Life	3/28/2008	2/28/2010