DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pack, Khanani Lei	DOIID	722886	NAIC NPN	56862

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/15/2010	12/31/2012
Inactive	Non Resident	Agent	Health	2/15/2010	12/31/2012
* 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	Gerber Life Insurance Company	300529	Agent - Health	7/15/2010	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	7/15/2010	12/17/2012
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	3/2/2010	6/18/2010
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	4/15/2010	7/14/2010
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	4/15/2010	7/14/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/28/2011	2/27/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2012	12/31/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	4/15/2010	7/14/2010
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	4/15/2010	7/14/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/9/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/9/2010	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	6/3/2011	1/29/2013
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	6/3/2011	1/29/2013