DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conn, Chandra Lee	DOIID	832949	NAIC NPN	17183905

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	2/27/2014		7/31/2025
Active	Resident	Agent	Life	2/11/2014		7/31/2025
* 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	Forethought Life Insurance Company	301407	Agent - Health	10/10/2014	1/6/2015
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/10/2014	1/6/2015
Inactive	Pacific Life Insurance Company	301848	Agent - Health	7/13/2014	9/1/2016
Inactive	Pacific Life Insurance Company	301848	Agent - Life	7/13/2014	9/1/2016
Active	Principal Life Insurance Company	300129	Agent - Health	2/7/2015
Active	Principal Life Insurance Company	300129	Agent - Life	2/7/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/29/2014	1/7/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/1/2014	3/12/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/1/2014	3/12/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/1/2014	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/1/2014	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	7/13/2014	6/17/2015
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	7/13/2014	6/17/2015