DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	AYB Insurance Services, Inc.	DOIID	522595	NAIC NPN	3745433

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/21/2001	11/10/2004
Inactive	Non Resident	Agent	Property	8/15/2000	9/25/2001
Inactive	Non Resident	Agent	Casualty	8/15/2000	9/25/2001
Inactive	Non Resident	Agent	Health	3/21/2001	11/10/2004
* 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	Employers Insurance Company of Wausau	301813	Agent - Casualty	3/30/2001	9/25/2001
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	3/30/2001	9/25/2001
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/4/2001	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/4/2001	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/21/2001	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/21/2001	11/10/2004
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	3/30/2001	9/25/2001
Inactive	Wausau Business Insurance Company	301476	Agent - Property	3/30/2001	9/25/2001
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	3/30/2001	9/25/2001
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	3/30/2001	9/25/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	May, John P	387718	Agent - Health	3/21/2001	10/11/2001
Inactive	May, John P	387718	Agent - Life	3/21/2001	10/11/2001
Inactive	Pacino, Thomas Lester	501561	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Pacino, Thomas Lester	501561	Agent - Property	8/15/2000	10/11/2001
Inactive	Steele, Robert H	517598	Agent - Health	10/11/2001	10/31/2004
Inactive	Steele, Robert H	517598	Agent - Life	10/11/2001	10/31/2004
Inactive	Tollick, Arthur	355722	Agent - Health	10/11/2001	3/3/2003