DEPARTMENT OF INSURANCE

Affiliations

Name	Wise, Patricia Tolley	DOIID	354020	NAIC NPN	7193215

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	3/15/1996	7/14/1997
Inactive	Resident	Agent	Property	8/15/2000	4/1/2013
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2013
Inactive	Resident	Agent	Life	1/9/1992	4/1/2013
Inactive	Resident	Agent	General Lines	8/9/1994	8/15/2000
Inactive	Resident	Agent	Health	1/9/1992	4/1/2013
* 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 National General Insurance Company	301944	Agent - Casualty	8/15/2000	1/31/2012
Inactive	American National General Insurance Company	301944	Agent - General Lines	8/9/1994	8/15/2000
Inactive	American National General Insurance Company	301944	Agent - Property	8/15/2000	1/31/2012
Inactive	American National Insurance Company	301861	Agent - Health	5/6/1994	1/31/2012
Inactive	American National Insurance Company	301861	Agent - Life	5/6/1994	1/31/2012
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	8/15/2000	1/31/2012
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	8/9/1994	8/15/2000
Inactive	American National Property and Casualty Company	300392	Agent - Property	8/15/2000	1/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/1/2007	4/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/1/2007	4/1/2013
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	1/31/1994	12/17/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	1/31/1994	12/17/1996
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	3/30/1994	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	3/30/1994	3/31/1997
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	2/16/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	6/10/1997	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	2/16/2012
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	12/1/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	6/10/1997	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	12/1/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/15/1996	7/14/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/30/2007	11/10/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/30/2007	11/10/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/2/2007	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/2/2007	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	National States Insurance Company	300579	Agent - Health	1/31/1994	2/25/1998
Inactive	National States Insurance Company	300579	Agent - Life	1/31/1994	2/25/1998
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	2/4/1994	4/21/1997
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	2/4/1994	4/21/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	3/25/1992	2/10/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	3/25/1992	2/10/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/5/1998	7/6/2005
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	8/5/1998	7/6/2005
Inactive	Time Insurance Company	300683	Agent - Health	1/9/1992	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	1/9/1992	3/31/1997
Inactive	Union Security Insurance Company	301844	Agent - Health	6/16/1994	11/20/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	6/16/1994	11/20/2003
Inactive	United Financial Casualty Company	301886	Agent - Casualty	7/24/2008	4/1/2013
Inactive	United Financial Casualty Company	301886	Agent - Property	7/24/2008	4/1/2013
Inactive		300277	Agent - Health	10/24/1996	9/14/1999
Inactive		300277	Agent - Life	10/24/1996	9/14/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/3/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/3/2007	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	4/1/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	4/1/2013
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	8/21/2007	4/1/2013
Inactive	Medlink Inc	400721	Agent - Health	8/21/2007	4/1/2013