DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hardeman, Susan M	DOIID	549298	NAIC NPN	7267218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/25/2002	7/1/2004
Inactive	Resident	Agent	Life	11/25/2002	7/1/2004
* 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	Encova Life Insurance Company	301818	Agent - Health	11/25/2002	7/1/2004
Inactive	Encova Life Insurance Company	301818	Agent - Life	11/25/2002	7/1/2004
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	12/12/2002	7/1/2004
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	12/12/2002	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Peoples Bank National Association	522118	Agent - Health	5/21/2003	7/1/2004
Inactive	Peoples Bank National Association	522118	Agent - Life	5/21/2003	7/1/2004
Inactive	Peoples Insurance Agency LLC	517977	Agent - Health	1/7/2004	7/1/2004
Inactive	Peoples Insurance Agency LLC	517977	Agent - Life	1/7/2004	7/1/2004