DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fleury, Carolyn	DOIID	979178	NAIC NPN	18595887

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/13/2017	6/30/2023
Inactive	Non Resident	Agent	Health	12/13/2017	6/30/2023
* 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	New York Life Insurance Company	300431	Agent - Health	12/14/2017	10/7/2019
Inactive	New York Life Insurance Company	300431	Agent - Life	12/14/2017	10/7/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Merrill Lynch Life Agency Inc.	400527	Agent - Life
Denied	Merrill Lynch Life Agency Inc.	400527	Agent - Health