DEPARTMENT OF INSURANCE

Affiliations

Name	Pedersen, Tracy	DOIID	720442	NAIC NPN	15464043

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/30/2009	6/30/2012
Inactive	Non Resident	Agent	Life	12/30/2009	6/30/2012
* 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
Denied	Seabury & Smith Inc	394854	Agent - Health
Denied	Seabury & Smith Inc	394854	Agent - Life