DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wisconsin Insurance World Ltd	DOIID	398323	NAIC NPN	963018

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/27/1999	5/31/2003
Inactive	Non Resident	Agent	Life	7/27/1999	5/31/2003
* 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 General Life Insurance Company of Delaware	301057	Agent - Health	8/14/1999	5/28/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	8/14/1999	5/28/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/8/2000	5/31/2003
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/8/2000	5/31/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	8/30/1999	5/31/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	8/30/1999	5/31/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	7/27/1999	11/25/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	7/27/1999	11/25/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Long, Thomas Leonard	383883	Agent - Health	7/27/1999	5/31/2003
Inactive	Long, Thomas Leonard	383883	Agent - Life	7/27/1999	5/31/2003