DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mack, Angela K	DOIID	684560	NAIC NPN	11042929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/10/2008	12/31/2009
Inactive	Non Resident	Agent	Life	7/10/2008	12/31/2009
* 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	12/30/2008	8/6/2009
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/30/2008	8/6/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/21/2009	11/6/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	5/7/2009	1/27/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	5/7/2009	1/27/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/21/2009	11/6/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/21/2009	11/6/2009

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	12/30/2008	12/31/2009
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	12/30/2008	12/31/2009