DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Werne, Amy	DOIID	516140	NAIC NPN	3312800

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/15/2001	7/31/2006
Inactive	Non Resident	Agent	Property	12/20/2000	7/31/2006
Inactive	Non Resident	Agent	Casualty	12/20/2000	7/31/2006
* 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	Cincinnati Insurance Company	301298	Agent - Casualty	12/20/2000	2/2/2005
Inactive	Cincinnati Insurance Company	301298	Agent - Property	12/20/2000	2/2/2005
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	6/15/2001	2/25/2005
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	6/7/2002	7/31/2006
Inactive	Consolidated Insurance Company	300943	Agent - Property	6/7/2002	7/31/2006
Inactive	Indiana Insurance Company	301909	Agent - Casualty	6/7/2002	7/31/2006
Inactive	Indiana Insurance Company	301909	Agent - Property	6/7/2002	7/31/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	6/7/2002	7/31/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	6/7/2002	7/31/2006
Inactive	Peerless Insurance Company	301910	Agent - Casualty	6/7/2002	7/31/2006
Inactive	Peerless Insurance Company	301910	Agent - Property	6/7/2002	7/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HUB International Midwest Limited	398717	Agent - Property	11/19/2002	1/13/2005
Inactive	HUB International Midwest Limited	398717	Agent - Casualty	11/19/2002	1/13/2005
Inactive	HUB International Midwest Limited	398717	Agent - Life	1/12/2004	1/13/2005