DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wolnitzek, Mark Douglas	DOIID	310971	NAIC NPN	1892059

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/8/1986	12/1/2000
Inactive	Resident	Agent	Health Maintenance Organization	11/11/1996	6/2/1999
Inactive	Resident	Agent	Life	9/8/1986	12/1/2000
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	11/11/1996	6/2/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/10/1996	5/4/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/1996	5/4/2000
Inactive	Canada Life Assurance Company	301192	Agent - Health	5/24/1996	12/28/1998
Inactive	Canada Life Assurance Company	301192	Agent - Life	5/24/1996	12/28/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	3/6/1995	3/14/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/6/1995	3/14/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/8/1986	10/31/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/8/1986	10/31/1996
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	3/7/1997	6/12/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/3/1992	12/1/2000
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/3/1992	12/1/2000
Inactive	Professional Insurance Company	301281	Agent - Health	3/20/1997	1/29/1999
Inactive	Professional Insurance Company	301281	Agent - Life	3/20/1997	1/29/1999
Inactive	Time Insurance Company	300683	Agent - Health	7/16/1987	12/1/2000
Inactive	Time Insurance Company	300683	Agent - Life	7/16/1987	12/1/2000
Inactive	Union Security Insurance Company	301844	Agent - Health	4/26/1989	12/1/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	4/26/1989	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/28/1996	6/2/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/28/1996	6/2/1999