DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Zeitlin, Lori	DOIID	971336	NAIC NPN	18555035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2017		1/31/2027
Active	Non Resident	Agent	Life	10/6/2017		1/31/2027
* 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
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/6/2017
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/6/2017
Active	Continental American Insurance Company	301700	Agent - Health	11/2/2017
Active	Continental American Insurance Company	301700	Agent - Life	11/2/2017
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/13/2017
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/13/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/19/2018
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/19/2018
Active	Starmount Life Insurance Company	628031	Agent - Health	3/19/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	3/19/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Life	3/19/2018
Active	Unum Insurance Company	301499	Agent - Health	2/28/2019
Active	Unum Insurance Company	301499	Agent - Life	2/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/28/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/28/2019