DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mellon, Karen M	DOIID	679931	NAIC NPN	2028303

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/5/2008	3/31/2013
Inactive	Non Resident	Agent	Health	5/5/2008	3/31/2013
* 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	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/25/2011	3/31/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/25/2011	3/31/2013
Inactive	MedAmerica Insurance Company	301568	Agent - Health	11/5/2008	1/5/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/25/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/25/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/25/2011	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh Executive Benefits, Inc.	518024	Agent - Life	1/25/2011	2/17/2011
Inactive	Marsh Executive Benefits, Inc.	518024	Agent - Health	12/13/2010	1/5/2011