DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilder, Marvin W	DOIID	306638	NAIC NPN	7158598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/17/2006	9/30/2007
Inactive	Resident	Agent	Life	8/17/2006	9/30/2007
* 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	Conseco Health Insurance Company	301725	Agent - Health	7/16/2001	9/30/2005
Inactive	Conseco Health Insurance Company	301725	Agent - Life	10/29/2001	9/30/2005
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	9/30/2005
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	9/30/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/19/2001	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/2001	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Life	12/19/2001	9/12/2003
Inactive	Physicians Life Insurance Company	300924	Agent - Health	11/19/2001	12/13/2001
Inactive	Physicians Life Insurance Company	300924	Agent - Life	11/19/2001	2/10/2003
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	11/19/2001	7/11/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/26/2002	9/30/2005
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	3/26/2002	9/30/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/10/2001	11/22/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/10/2001	11/22/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/10/2001	11/22/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	2/12/2004	9/30/2005
Inactive	Medlink Inc	400721	Agent - Life	2/12/2004	9/30/2005