DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Weisman, Wayne R	DOIID	555694	NAIC NPN	7341122

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/19/2017	8/31/2021
Inactive	Non Resident	Agent	Property	10/17/2017	8/31/2021
Inactive	Non Resident	Agent	Health	10/27/2006	8/31/2021
Inactive	Non Resident	Agent	Casualty	10/17/2017	8/31/2021
* 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	ACE American Insurance Company	300625	Agent - Casualty	12/19/2017	8/31/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	12/19/2017	8/31/2021
Inactive	New York Life Insurance Company	300431	Agent - Health	2/6/2018	8/31/2021
Inactive	New York Life Insurance Company	300431	Agent - Life	2/6/2018	8/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/20/2006	4/21/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Health	3/21/2018	1/14/2020
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Casualty	12/19/2017	1/14/2020
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Property	12/19/2017	1/14/2020
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Life	2/6/2018	1/14/2020