DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Watson, Phyllis	DOIID	691624	NAIC NPN	753758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/17/2008	5/31/2011
Inactive	Non Resident	Agent	Health	10/17/2008	5/31/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/26/2009	3/1/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/26/2009	3/1/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/7/2008	5/31/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/7/2008	5/31/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	7/6/2009	6/2/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	10/31/2008	6/2/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/4/2008	7/2/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/3/2008	7/2/2011
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/3/2008	7/2/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	W & R Insurance Agency	398729	Agent - Health	11/4/2008	5/31/2011
Inactive	W & R Insurance Agency	398729	Agent - Life	10/31/2008	5/31/2011