DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blakeley, Monica	DOIID	678927	NAIC NPN	1576866

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/25/2008	4/30/2018
Inactive	Non Resident	Agent	Health	4/25/2008	4/30/2018
* 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. (PA)	660717	Agent - Health	12/9/2008	4/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/9/2008	4/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/9/2008	4/30/2018

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	12/9/2008	4/30/2018
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	12/9/2008	4/30/2018