DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rios, Melissa Anne	DOIID	713036	NAIC NPN	4589524

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/9/2009	1/31/2012
Inactive	Non Resident	Agent	Life	9/9/2009	1/31/2012
* 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	Balboa Life Insurance Company	301327	Agent - Health	9/18/2009	5/10/2010
Inactive	Balboa Life Insurance Company	301327	Agent - Life	9/18/2009	5/10/2010
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/20/2010	5/15/2010
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/23/2009	6/10/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Health	10/9/2009	5/10/2010
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Life	10/9/2009	6/10/2010