DEPARTMENT OF INSURANCE

Affiliations

Name	Marks, Sandra J	DOIID	320340	NAIC NPN	997361

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/11/1994	9/30/2012
Inactive	Non Resident	Agent	Life	10/11/1994	9/30/2012
* 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	American Heritage Life Insurance Company	300272	Agent - Health	4/22/2003	9/30/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/22/2003	9/30/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/24/1997	9/30/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/24/1997	9/30/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	12/18/2003	9/30/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	12/18/2003	9/30/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/18/1995	10/30/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/18/1995	10/30/2012
Inactive	Legion Insurance Company	301490	Agent - Health	9/16/1998	7/1/2003
Inactive	Life Insurance Company of North America	300711	Agent - Health	9/3/1997	9/30/2012
Inactive	Life Insurance Company of North America	300711	Agent - Life	9/3/1997	9/30/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/11/1994	5/9/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/11/1994	5/9/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/6/2002	11/20/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/6/2002	11/20/2012
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/16/1997	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/16/1997	12/15/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/14/1997	9/30/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/14/1997	9/30/2012
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	8/22/1995	12/31/1998
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	8/22/1995	12/31/1998
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	1/8/2002	9/30/2012
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	1/8/2002	9/30/2012
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	3/1/1995	8/3/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	3/1/1995	8/3/2009
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	1/8/2001	9/21/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	1/8/2001	9/21/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/12/1997	9/30/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/12/1997	9/30/2012
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	9/30/2012
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	9/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Life	11/8/1996	9/12/2012
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	11/8/1996	9/12/2012