DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Byrne, Jen Marie	DOIID	723736	NAIC NPN	15666709

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/2/2010	6/30/2017
Inactive	Non Resident	Agent	Health	3/2/2010	6/30/2017
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/19/2010	1/17/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/19/2010	1/17/2014
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	11/15/2010	6/30/2017
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	11/15/2010	6/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	4/20/2010	6/30/2017
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	4/20/2010	6/30/2017