DEPARTMENT OF INSURANCE

Affiliations

Name	Cimeley, Wayne Randolph	DOIID	324511	NAIC NPN	1031208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/14/1995	2/2/2009
Inactive	Non Resident	Agent	Health	9/14/1995	2/2/2009
Inactive	Non Resident	Life & Health Consultant	Not Applicable	1/17/1984	3/31/1999
* 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	9/13/1999	4/21/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/13/1999	4/21/2000
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/24/1997	12/27/1999
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/24/1997	12/27/1999
Inactive	Canada Life Assurance Company	301192	Agent - Health	2/22/1999	9/29/2003
Inactive	Canada Life Assurance Company	301192	Agent - Life	2/22/1999	9/29/2003
Inactive	Continental Casualty Company	301019	Agent - Health	2/4/1998	11/29/2004
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	4/21/1997	7/3/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	4/21/1997	7/3/2008
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	12/13/1995	12/27/1999
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	12/13/1995	12/27/1999
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	9/14/1995	12/27/1999
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	9/14/1995	12/27/1999
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/20/1998	10/24/2005
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/13/1999	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/13/1999	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/13/1999	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/13/1999	10/24/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Health	11/15/1995	3/23/1998
Inactive	Prudential Insurance Company of America	300784	Agent - Life	11/15/1995	3/23/1998
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/8/1998	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/8/1998	9/3/2004
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	10/24/1995	12/31/1998
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	10/24/1995	12/31/1998
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/8/1999	10/24/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/8/1999	10/24/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/8/1997	12/7/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/8/1997	12/7/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fox and Fox, Inc.	550007	Agent - Health	1/8/2004	2/14/2007
Inactive	Fox and Fox, Inc.	550007	Agent - Life	1/8/2004	2/14/2007