DEPARTMENT OF INSURANCE

Affiliations

Name	Sakos, Mary Catherine	DOIID	592494	NAIC NPN	8167749

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	7/15/2004	2/28/2015
* 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
Inactive	Boon Administrative Services, Inc	395983	Administrator - Not Applicable	7/15/2004	8/7/2013
Inactive	Foundation Benefits Administrators, Inc.	594485	Administrator - Not Applicable	10/1/2004	11/9/2009