DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tracy, Corinne S	DOIID	979406	NAIC NPN	18601469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/14/2017		10/31/2026
Active	Non Resident	Agent	Life	12/14/2017		10/31/2026
* 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	08/15/2024	10/31/2024	08/19/2024	08/19/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/24/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/24/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aon Consulting Inc NJ	399932	Agent - Life	3/10/2021
Active	Aon Consulting Inc NJ	399932	Agent - Health	3/10/2021