DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stillwell, Jeffrey M	DOIID	784940	NAIC NPN	1018399

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/26/2012	9/30/2016
Inactive	Non Resident	Agent	Life	6/26/2012	9/30/2016
* 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	Transamerica Life Insurance Company	300571	Agent - Health	8/14/2012	9/30/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/31/2013	9/30/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/31/2013	9/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ameriprise Financial Services, LLC	398326	Agent - Life	10/6/2015	9/30/2016
Inactive	Ameriprise Financial Services, LLC	398326	Agent - Health	10/6/2015	9/30/2016