DEPARTMENT OF INSURANCE

Affiliations

Name	Fell, Wayne Michael	DOIID	343396	NAIC NPN	2986069

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	11/9/1999	8/15/2000
Inactive	Non Resident	Agent	Life	11/9/1999	7/31/2011
Inactive	Non Resident	Agent	Property	8/15/2000	7/31/2011
Inactive	Non Resident	Agent	Health	11/9/1999	7/31/2011
Inactive	Non Resident	Agent	Prepaid Dental Plan	12/27/2000	3/1/2001
Inactive	Non Resident	Agent	Health Maintenance Organization	2/23/2000	3/1/2001
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/31/2011
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/18/2007	7/31/2011
* 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 Home Assurance Company	300246	Agent - Casualty	8/15/2000	6/2/2004
Inactive	American Home Assurance Company	300246	Agent - General Lines	4/18/2000	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2000	6/2/2004
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/17/2000	11/27/2002
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	11/17/2000	11/27/2002
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	2/2/2011	7/31/2011
Inactive	CompDent Corporation	301387	Agent - Health	3/1/2001	1/20/2004
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	12/27/2000	3/1/2001
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	5/26/2000	1/20/2004
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	5/26/2000	1/20/2004
Inactive	Continental General Insurance Company	300691	Agent - Health	10/12/2000	1/20/2004
Inactive	Continental General Insurance Company	300691	Agent - Life	10/12/2000	1/20/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	12/20/2009	7/31/2011
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	11/9/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	12/20/2009	7/31/2011
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/5/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	11/9/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/5/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	7/31/2011
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	11/9/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	7/31/2011
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/20/2011	7/31/2011
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	11/9/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/20/2011	7/31/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/26/2007	7/31/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/23/2000	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	3/26/2007	7/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	3/26/2007	7/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004	7/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004	7/31/2011
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/15/2000	6/2/2004
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - General Lines	4/18/2000	8/15/2000
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/15/2000	6/2/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/30/2001	1/20/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/30/2001	1/20/2004
Inactive	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	6/27/2008	7/31/2011
Inactive	Manufacturers Alliance Insurance Company	519940	Agent - Property	6/27/2008	7/31/2011
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	6/2/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	4/18/2000	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	6/2/2004
Inactive	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	6/27/2008	7/31/2011
Inactive	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	6/27/2008	7/31/2011
Inactive	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	6/27/2008	7/31/2011
Inactive	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	6/27/2008	7/31/2011
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	12/20/2009	7/31/2011
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	12/20/2009	7/31/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	1/20/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	1/20/2004
Inactive	SPARTA Insurance Company	301523	Agent - Casualty	11/1/2009	4/27/2011
Inactive	SPARTA Insurance Company	301523	Agent - Property	11/1/2009	4/27/2011
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	9/18/2000	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	9/18/2000	10/1/2003
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	8/28/2000	1/20/2004
Inactive	Technology Insurance Company	613278	Agent - Casualty	11/1/2009	7/31/2011
Inactive	Technology Insurance Company	613278	Agent - Property	11/1/2009	7/31/2011
Inactive	Time Insurance Company	300683	Agent - Life	3/24/2000	1/20/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	2/17/2010	7/31/2011
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	11/9/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	2/17/2010	7/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/11/2001	1/20/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/11/2001	1/20/2004
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	11/9/1999	1/20/2004
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	11/9/1999	1/20/2004
Inactive	Wesco Insurance Company	300534	Agent - Casualty	11/1/2009	7/31/2011
Inactive	Wesco Insurance Company	300534	Agent - Property	11/1/2009	7/31/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	2/2/2008	8/10/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	2/2/2008	8/10/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Hardware & Lumber Insurance Agency, Inc.	502035	Agent - General Lines	5/8/2000	8/15/2000
Inactive	American Hardware & Lumber Insurance Agency, Inc.	502035	Agent - Life	2/16/2007	7/31/2011
Inactive	American Hardware & Lumber Insurance Agency, Inc.	502035	Agent - Health	2/16/2007	7/31/2011
Inactive	American Hardware & Lumber Insurance Agency, Inc.	502035	Agent - Property	8/15/2000	7/31/2011
Inactive	American Hardware & Lumber Insurance Agency, Inc.	502035	Agent - Casualty	8/15/2000	7/31/2011
Inactive	American Lumber Underwriters, Inc.	663188	Agent - Property	9/24/2007	7/31/2011
Inactive	American Lumber Underwriters, Inc.	663188	Agent - Casualty	9/24/2007	7/31/2011