DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Phelps-O Leary Synborski, Kate P O	DOIID	741754	NAIC NPN	16001894

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/4/2010	1/31/2013
Inactive	Non Resident	Agent	Life	11/4/2010	1/31/2013
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	1/3/2011	1/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/3/2011	1/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/3/2011	1/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	1/3/2011	2/6/2012
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	1/3/2011	1/31/2013