DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wayne, Sherell J	DOIID	342792	NAIC NPN	7188298

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/19/1988	12/1/2000
Inactive	Resident	Agent	Health	1/19/1988	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	Conseco Insurance Company	301202	Agent - Health	4/5/1993	12/1/2000
Inactive	Conseco Insurance Company	301202	Agent - Life	4/5/1993	12/1/2000
Inactive	Continental Casualty Company	301019	Agent - Health	3/28/1995	12/1/2000
Inactive	First National Life Insurance Company	300833	Agent - Health	6/5/1995	2/14/1997
Inactive	First National Life Insurance Company	300833	Agent - Life	6/5/1995	2/14/1997
Inactive	Jefferson National Life Insurance Company	300258	Agent - Health	3/17/1993	12/1/2000
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	3/17/1993	12/1/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Health	3/3/1992	12/1/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Life	3/3/1992	12/1/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	12/7/1990	12/1/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	12/7/1990	12/1/2000
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	9/14/1993	3/31/1999
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	9/14/1993	3/31/1999
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	7/18/1989	12/1/2000
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	7/18/1989	12/1/2000
Inactive	USG Annuity & Life Company	300457	Agent - Life	9/4/1992	12/1/2000
Inactive	United American Insurance Company	300910	Agent - Health	1/19/1988	12/1/2000
Inactive	United American Insurance Company	300910	Agent - Life	1/19/1988	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	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	12/1/2000
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	12/1/2000