DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wiedemer, Teresa Ann	DOIID	345297	NAIC NPN	1489343

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/18/1996	6/30/2006
Inactive	Non Resident	Agent	Life	10/18/1996	6/30/2006
* 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	10/18/1996	9/14/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/18/1996	9/14/2000
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	8/24/1999	6/30/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	8/24/1999	6/30/2006
Inactive	Union Security Insurance Company	301844	Agent - Health	7/29/1999	12/31/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Winston & Company Benefits Inc.	398287	Agent - Life	9/16/1999	9/6/2000
Inactive	Winston & Company Benefits Inc.	398287	Agent - Health	9/16/1999	9/6/2000