DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lord, Kelsey S	DOIID	680186	NAIC NPN	10734017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/12/2008	6/9/2010
Inactive	Non Resident	Agent	Life	5/12/2008	6/9/2010
* 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	Minnesota Life Insurance Company	300488	Agent - Health	12/31/2008	6/9/2010
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/31/2008	6/9/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	6/18/2008	6/9/2010
Inactive	Union Security Insurance Company	301844	Agent - Health	6/12/2008	8/1/2008
Inactive	Union Security Insurance Company	301844	Agent - Life	6/12/2008	8/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	6/12/2008	6/9/2010
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	6/12/2008	8/1/2008