DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stark, Valorie J	DOIID	714557	NAIC NPN	14578110

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/29/2009	10/4/2011
Inactive	Non Resident	Agent	Health	9/29/2009	10/4/2011
* 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	Anthem Life Insurance Company	301209	Agent - Health	12/4/2009	1/27/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/4/2009	1/27/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/13/2010	12/3/2010
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	1/13/2010	12/3/2010
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Health	12/4/2009	3/12/2010
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Life	12/4/2009	3/12/2010