DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Novosel, Mary Jane Donivan	DOIID	912336	NAIC NPN	17907196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	7/9/2021		2/28/2027
Active	Resident	Agent	Life	6/6/2016		2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2024	02/28/2025	02/07/2025	02/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Life	10/11/2018	1/15/2022
Active	Athene Annuity and Life Company	301893	Agent - Life	5/19/2017
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/18/2023
Active	Forethought Life Insurance Company	301407	Agent - Life	1/14/2021
Active	IA American Life Insurance Company	301149	Agent - Life	4/23/2019
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/19/2018	12/29/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	7/6/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/27/2018
Active	North American Company for Life and Health Insurance	300291	Agent - Life	8/19/2020
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	8/4/2017	7/5/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/19/2020	6/17/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	3/20/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/24/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/15/2016	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
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/18/2016