DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wollett, Erica Allison	DOIID	505975	NAIC NPN	3203224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/4/2000	4/18/2005
Inactive	Non Resident	Agent	Property	5/4/2000	4/18/2005
Inactive	Non Resident	Agent	Life	4/17/2000	4/18/2005
Inactive	Non Resident	Agent	Health	4/17/2000	4/18/2005
* 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 Enterprise Life Insurance Company	300262	Agent - Life	11/1/2002	1/23/2003
Inactive	American General Life Insurance Company	301585	Agent - Health	9/3/2002	4/18/2005
Inactive	American General Life Insurance Company	301585	Agent - Life	9/3/2002	4/18/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/4/2000	11/29/2004
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/4/2000	11/29/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/7/2000	4/18/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/7/2000	4/18/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Health	3/11/2002	4/18/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Life	3/11/2002	4/18/2005
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	4/17/2000	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	4/17/2000	3/31/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/30/2001	12/16/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/30/2001	12/16/2004
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	10/30/2001	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	10/30/2001	3/31/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/10/2001	4/18/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/10/2001	4/18/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Professional Direct Agency, Inc.	516123	Agent - Life	1/21/2004	4/18/2005
Inactive	Professional Direct Agency, Inc.	516123	Agent - Health	1/21/2004	4/18/2005