DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Teresa	DOIID	352507	NAIC NPN	5966487

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	5/1/2000	9/30/2008
Active	Resident	Agent	Life	9/14/1993		9/30/2024
Active	Resident	Agent	Health	9/14/1993		9/30/2024
Inactive	Resident	Agent	Health Maintenance Organization	8/2/1995	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	6/2/2006	12/27/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	6/2/2006	12/27/2012
Inactive	American United Life Insurance Company	300498	Agent - Health	11/11/2005	5/20/2009
Inactive	American United Life Insurance Company	300498	Agent - Life	11/11/2005	5/20/2009
Inactive	Avemco Insurance Company	300669	Agent - Health	8/1/2003	6/15/2005
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	10/10/2003	11/28/2005
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	10/10/2003	11/28/2005
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	2/25/2003
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	8/2/1995	3/1/2001
Inactive	HCC Life Insurance Company	301827	Agent - Health	8/1/2003	2/9/2009
Inactive	HCC Life Insurance Company	301827	Agent - Life	8/1/2003	2/9/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/23/2005	12/11/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/23/2005	12/11/2009
Inactive	QBE Insurance Corporation	300515	Agent - Health	8/6/2004	11/25/2008
Inactive	Time Insurance Company	300683	Agent - Health	8/10/2001	5/22/2003
Inactive	Time Insurance Company	300683	Agent - Life	8/10/2001	5/22/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/14/2005	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/14/2005	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/14/2005	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/14/2005	11/30/2016
Inactive	Wilco Life Insurance Company	300122	Agent - Health	9/14/1993	5/20/2009
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/14/1993	4/27/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commonwealth Health Corporation	400683	Agent - Health Maintenance Organization	2/14/1997	3/1/2001
Inactive	Commonwealth Health Corporation	507058	Agent - Life	4/22/2003	3/31/2008
Denied	Commonwealth Health Corporation	400683	Agent - Life
Inactive	Commonwealth Health Corporation	400683	Agent - Health	8/28/1998	3/31/2010
Inactive	Commonwealth Health Corporation	507058	Agent - Health	4/22/2003	3/31/2008
Inactive	Commonwealth Health Corporation	507058	Administrator - Not Applicable	5/1/2000	9/30/2008
Inactive	Planchoice Inc.	400482	Agent - Life	3/19/2003	5/22/2003
Inactive	Planchoice Inc.	400482	Agent - Health	3/19/2003	11/30/2016