DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Borts, Susan	DOIID	714443	NAIC NPN	6758881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	1/4/2019	3/31/2021
Inactive	Non Resident	Agent	Health	9/9/2013	6/30/2015
Inactive	Non Resident	Agent	Life	9/9/2013	6/30/2015
* 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	American Heritage Life Insurance Company	300272	Agent - Health	9/30/2010	6/30/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/30/2010	6/30/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/22/2011	6/30/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/22/2011	6/30/2011
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	1/11/2019	1/17/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/24/2013	6/30/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/24/2013	6/30/2015
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/25/2013	6/30/2015
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/25/2013	6/30/2015
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/15/2009	6/30/2011
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/15/2009	6/30/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/24/2013	6/30/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/24/2013	6/30/2015
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	1/11/2019	1/17/2020
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	1/11/2019	1/17/2020
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	1/11/2019	1/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	10/24/2014	6/30/2015
Inactive	Willis Of Illinois Inc	398318	Agent - Health	10/24/2014	6/30/2015