DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wozny, Ann R	DOIID	536166	NAIC NPN	228911

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/3/2019		2/28/2026
Active	Non Resident	Agent	Casualty	9/11/2001		2/28/2026
Active	Non Resident	Agent	Life	4/3/2019		2/28/2026
Active	Non Resident	Agent	Property	9/11/2001		2/28/2026
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/29/2019	11/28/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/29/2019	11/28/2020
Active	Preferred Professional Insurance Company	300209	Agent - Casualty	9/11/2001
Active	Preferred Professional Insurance Company	300209	Agent - Property	9/11/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Premier Insurance Management Services, Inc.	540070	Agent - Property	12/14/2016
Active	Premier Insurance Management Services, Inc.	540070	Agent - Casualty	12/14/2016
Active	Premier Insurance Management Services, Inc.	540070	Agent - Life	5/29/2019
Active	Premier Insurance Management Services, Inc.	540070	Agent - Health	5/29/2019