DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Worrall, Betsy Beach	DOIID	676954	NAIC NPN	2442798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/25/2008	5/31/2010
Inactive	Non Resident	Agent	Health	3/25/2008	5/31/2010
* 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	Anthem Life Insurance Company	301209	Agent - Health	5/19/2008	5/31/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/19/2008	5/31/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/12/2008	5/31/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/12/2008	5/31/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/1/2010	5/31/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/1/2010	5/31/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	5/19/2008	5/31/2010
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	5/19/2008	5/31/2010