DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haagenson, Anna Barbara	DOIID	720920	NAIC NPN	2563731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/11/2010	2/28/2017
Inactive	Non Resident	Agent	Casualty	1/11/2010	2/28/2017
Inactive	Non Resident	Agent	Property	1/11/2010	2/28/2017
Inactive	Non Resident	Agent	Health	1/11/2010	2/28/2017
* 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 Family Home Insurance Company	301817	Agent - Casualty	10/14/2013	12/11/2014
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/14/2013	12/11/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2013	12/11/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2013	12/11/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2013	12/11/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2013	12/11/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/11/2013	12/11/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/11/2013	12/11/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	USI Ins Services Of Northern California Inc	502115	Agent - Life
Denied	USI Ins Services Of Northern California Inc	502115	Agent - Health
Inactive	USI Ins Services Of Northern California Inc	502115	Agent - Property	6/5/2014	12/11/2014
Inactive	USI Ins Services Of Northern California Inc	502115	Agent - Casualty	6/5/2014	12/11/2014