DEPARTMENT OF INSURANCE

Name	Phillips, Mary	DOIID	623809	NAIC NPN	5957936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	1/12/2006	6/30/2007
Inactive	Non Resident	Agent	Health	1/12/2006	6/30/2007

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Merce Health Beneftis 111 Monument CircleIndianapolis, IN 46204
Residence	Not Public Information
Mailing	1443 Sarazen Circle Indianapolis, IN 46239

Internet Information

Type	Address
Business Email	mary.r.phillips@mercer.com

Phone Information

Type	Phone
Business / Home Office	(317) 261-9516