DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Maibuecher, Colleen	DOIID	761588	NAIC NPN	11027284

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2011	3/31/2016
Inactive	Non Resident	Agent	Life	8/23/2011	3/31/2016
* 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	American General Life Insurance Company	301585	Agent - Health	12/22/2013	4/11/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/22/2013	4/11/2016
Inactive	New York Life Insurance Company	300431	Agent - Health	11/26/2013	8/18/2015
Inactive	New York Life Insurance Company	300431	Agent - Life	11/26/2013	8/18/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/27/2013	2/17/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/27/2013	2/17/2016
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/22/2013	4/11/2016
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/22/2013	4/11/2016

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 Administration Llc	656414	Agent - Health	1/13/2014	3/31/2016
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/13/2014	3/31/2016
Denied	Seabury & Smith Inc	394854	Agent - Health