DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fitness and Wellness Insurance Agency	DOIID	553306	NAIC NPN	4791785

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/25/2002	3/31/2008
Inactive	Non Resident	Agent	Casualty	9/25/2002	3/31/2008
* 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 Guarantee and Liability Insurance Company	301216	Agent - Casualty	4/22/2003	3/31/2008
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	4/22/2003	3/31/2008
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	4/22/2003	3/31/2008
Inactive	American Zurich Insurance Company	300592	Agent - Property	4/22/2003	3/31/2008
Inactive	Specialty National Insurance Company	301931	Agent - Casualty	9/25/2002	5/31/2003
Inactive	Specialty National Insurance Company	301931	Agent - Property	9/25/2002	5/31/2003
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	4/22/2003	3/31/2008
Inactive	Zurich American Insurance Company	301121	Agent - Property	4/22/2003	3/31/2008
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/22/2003	3/31/2008
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/22/2003	3/31/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frick, Jeffrey Edward	388233	Agent - Casualty	11/7/2007	3/31/2008
Inactive	Frick, Jeffrey Edward	388233	Agent - Property	11/7/2007	3/31/2008