DEPARTMENT OF INSURANCE

Affiliations

Name	Sievert, Angela	DOIID	708971	NAIC NPN	14367917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/20/2009	4/1/2013
Inactive	Resident	Agent	Life	7/20/2009	4/1/2013
* 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	Banner Life Insurance Company	301696	Agent - Life	1/18/2013	4/1/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/25/2009	12/17/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/25/2009	12/17/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/25/2009	12/17/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	12/17/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/3/2010	4/1/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/3/2010	4/1/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	12/17/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/25/2009	12/17/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/2009	12/17/2012
Inactive	Humana Insurance Company	301104	Agent - Life	9/25/2009	12/17/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/25/2009	12/17/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/25/2009	12/17/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/25/2009	12/17/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/25/2009	12/17/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	3/17/2010	4/25/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/25/2009	12/17/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/25/2009	12/17/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/16/2009	12/17/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/5/2010	4/1/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/16/2009	12/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/16/2009	12/17/2012
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/22/2010	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	3/17/2010	4/1/2013