DEPARTMENT OF INSURANCE

Affiliations

Name	Fillmore, Tracy A	DOIID	694793	NAIC NPN	11982050

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/3/2008	6/30/2011
Inactive	Non Resident	Agent	Life	12/3/2008	6/30/2011
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	12/3/2008	6/30/2011
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Investments Life Insurance Company	300620	Agent - Health	12/16/2008	6/30/2011
Inactive	Fidelity Investments Life Insurance Company	300620	Agent - Life	12/16/2008	6/30/2011
Inactive	Fidelity Investments Life Insurance Company	300620	Agent - Variable Life and Variable Annuities	12/16/2008	6/30/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/17/2009	6/30/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/17/2009	6/30/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	8/17/2009	6/30/2011
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	3/30/2009	6/30/2011
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	12/23/2008	8/17/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	12/23/2008	8/17/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Insurance Agency Inc.	400221	Agent - Life	7/30/2009	6/30/2011
Inactive	Fidelity Insurance Agency Inc.	400221	Agent - Health	7/30/2009	6/30/2011
Inactive	Fidelity Insurance Agency Inc.	400221	Agent - Variable Life and Variable Annuities	7/30/2009	6/30/2011