DEPARTMENT OF INSURANCE

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		1/31/2025
Active	Non Resident	Agent	Life	10/6/2017		1/31/2025
* 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	11/15/2024	01/31/2025

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