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DEPARTMENT OF INSURANCE
Affiliations
Name
Petty, Maria
DOIID
769888
NAIC NPN
16473771
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
12/1/2011
11/30/2016
Inactive
Non Resident
Agent
Health
12/1/2011
11/30/2016
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
12/5/2014
11/30/2016
Inactive
Aetna Life Insurance Company
301140
Agent - Health
12/5/2014
11/30/2016
Inactive
Aetna Life Insurance Company
301140
Agent - Life
12/5/2014
11/30/2016
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
9/11/2013
2/24/2014
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
9/11/2013
2/24/2014
Inactive
Combined Insurance Company of America
301472
Agent - Health
3/2/2012
11/30/2016
Inactive
Combined Insurance Company of America
301472
Agent - Life
3/2/2012
11/30/2016
Inactive
Continental American Insurance Company
301700
Agent - Health
12/7/2011
11/30/2016
Inactive
Continental American Insurance Company
301700
Agent - Life
12/7/2011
11/30/2016
Inactive
Coventry Health and Life Insurance Company
301771
Agent - Health
12/5/2014
11/30/2016
Inactive
Coventry Health and Life Insurance Company
301771
Agent - Life
12/5/2014
11/30/2016
Inactive
Kanawha Insurance Company
300127
Agent - Health
10/31/2013
11/30/2016
Inactive
Kanawha Insurance Company
300127
Agent - Life
10/31/2013
11/30/2016
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
11/2/2012
11/30/2016
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
11/2/2012
11/30/2016
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
9/5/2012
11/30/2016
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
9/5/2012
11/30/2016
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
11/26/2014
11/30/2016
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
11/26/2014
11/30/2016
Inactive
Trustmark Insurance Company
300317
Agent - Health
8/31/2013
9/15/2016
Inactive
Trustmark Insurance Company
300317
Agent - Life
8/31/2013
9/15/2016
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
11/2/2012
11/30/2016
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
11/2/2012
11/30/2016
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Willis Of Illinois Inc
398318
Agent - Life
12/10/2014
11/30/2016
Inactive
Willis Of Illinois Inc
398318
Agent - Health
12/10/2014
11/30/2016
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