DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sargent, Tara J	DOIID	787534	NAIC NPN	7473962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/2/2012	6/30/2014
Inactive	Non Resident	Agent	Health	8/2/2012	6/30/2014
* 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	USAble Life	564807	Agent - Health	8/3/2012	4/20/2014
Inactive	USAble Life	564807	Agent - Life	8/3/2012	4/20/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Your Benefits Agency, Inc.	828664	Agent - Life	12/3/2013	1/17/2014
Inactive	Your Benefits Agency, Inc.	828664	Agent - Health	12/3/2013	1/17/2014