DEPARTMENT OF INSURANCE

Affiliations

Name	Klein, Susan Marie	DOIID	978461	NAIC NPN	7533909

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/5/2017	7/31/2025
Active	Non Resident	Agent	Life	12/5/2017	7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Keystone Ins & Benefits Group LLC	716920	Agent - Life
Denied	Keystone Ins & Benefits Group LLC	716920	Agent - Health