DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Radcliffe, Ellen Patricia	DOIID	692476	NAIC NPN	1712966

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	12/11/2009	5/31/2012
Inactive	Non Resident	Agent	Life	10/29/2008	5/31/2012
Inactive	Non Resident	Agent	Health	10/29/2008	5/31/2012
* 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	Anthem Life Insurance Company	301209	Agent - Health	4/7/2009	5/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/7/2009	5/31/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/15/2009	2/13/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/15/2009	2/13/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/29/2010	5/31/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/29/2010	5/31/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/3/2010	5/31/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/3/2010	5/31/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/15/2009	2/13/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/15/2009	2/13/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/6/2009	6/30/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/6/2009	6/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brokerage Concepts, LLC	641608	Agent - Health	4/13/2009	6/30/2011
Inactive	Brokerage Concepts, LLC	641608	Agent - Life	4/13/2009	6/30/2011
Inactive	Brokerage Concepts, LLC	641608	Administrator - Not Applicable	12/14/2009	5/31/2012
Inactive	Loomis Company [The]	401159	Agent - Health	9/12/2011	1/10/2012
Inactive	Loomis Company [The]	401159	Agent - Life	9/12/2011	1/10/2012
Inactive	Loomis Company [The]	401159	Administrator - Not Applicable	9/12/2011	1/10/2012