DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Laurie	DOIID	855663	NAIC NPN	17391092

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/15/2014	11/1/2016
* 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	Loyal American Life Insurance Company	301172	Agent - Health	9/7/2016	11/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/4/2015	2/2/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/4/2015	2/2/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	2/2/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Healthcare Solutions, Inc.	814587	Agent - Health	10/10/2016	11/8/2016