DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Faraone, Tamara	DOIID	726368	NAIC NPN	8603844

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/13/2010	9/28/2010
Inactive	Non Resident	Agent	Health	4/13/2010	9/28/2010
* 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	Minnesota Life Insurance Company	300488	Agent - Health	4/16/2010	9/15/2010
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/16/2010	9/15/2010
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/16/2010	9/28/2010
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/16/2010	9/28/2010
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/16/2010	9/28/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	W & R Insurance Agency	398729	Agent - Health	4/16/2010	9/23/2010
Inactive	W & R Insurance Agency	398729	Agent - Life	4/16/2010	9/23/2010