DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Richardson, Cynthia D	DOIID	740309	NAIC NPN	6839395

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/19/2010	4/30/2013
Inactive	Non Resident	Agent	Health	10/19/2010	4/30/2013
* 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	12/5/2010	6/15/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/5/2010	6/15/2012

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 - Life	12/5/2010	6/19/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	12/5/2010	6/19/2012