DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lerner, Teresa Ann	DOIID	697869	NAIC NPN	5952683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/23/2009	12/31/2012
Inactive	Non Resident	Agent	Life	1/23/2009	12/31/2012
* 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	1/14/2011	12/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/14/2011	12/31/2012
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	5/5/2009	7/29/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/5/2012	12/31/2012
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	1/25/2011	12/31/2012
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	1/25/2011	12/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/5/2012	12/31/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/13/2011	11/23/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/13/2011	11/23/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/5/2012	12/31/2012
Inactive	Humana Insurance Company	301104	Agent - Health	3/5/2012	12/31/2012
Inactive	Humana Insurance Company	301104	Agent - Life	3/5/2012	12/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/5/2012	12/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/5/2012	12/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/5/2012	12/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/5/2012	12/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Capital Benefits Group LLC	670142	Agent - Life	3/2/2011	12/31/2012
Inactive	Capital Benefits Group LLC	670142	Agent - Health	3/2/2011	12/31/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/14/2011	12/31/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/14/2011	12/31/2012