DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dittrich, Jeanne Marie	DOIID	774772	NAIC NPN	16546739

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/23/2012	6/30/2013
Inactive	Resident	Agent	Limited Line Credit	5/3/2012	6/30/2013
* 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	Nationwide Life Insurance Company	300495	Agent - Life	9/26/2012	6/30/2013
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/26/2012	6/30/2013
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	7/10/2012	6/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Financial Ins Inc	596684	Agent - Life	4/25/2013	6/30/2013