DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Marriott, Richard T	DOIID	709261	NAIC NPN	14223259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/13/2009	10/31/2013
Inactive	Non Resident	Agent	Life	7/13/2009	10/31/2013
* 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	Minnesota Life Insurance Company	300488	Agent - Health	7/23/2009	2/21/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	7/23/2009	2/21/2013
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/23/2009	10/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	7/23/2009	1/8/2013
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	7/23/2009	1/8/2013