DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pillock, Mary Shan	DOIID	702814	NAIC NPN	8598451

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/1/2010	5/31/2016
Inactive	Non Resident	Agent	Life	6/1/2010	5/31/2016
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/12/2011	5/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/12/2011	5/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/12/2011	5/31/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/19/2012	1/20/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/19/2012	1/20/2015
Inactive	Time Insurance Company	300683	Agent - Health	7/22/2011	9/16/2013
Inactive	Time Insurance Company	300683	Agent - Life	7/22/2011	9/16/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AHB Sales LLC	787451	Agent - Life	9/21/2012	3/31/2016
Inactive	AHB Sales LLC	787451	Agent - Health	9/21/2012	3/31/2016
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	9/13/2012	12/9/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	9/13/2012	12/9/2015