DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Werner, Melissa Anne	DOIID	568726	NAIC NPN	7672249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/14/2003	7/1/2004
Inactive	Resident	Agent	Health	5/14/2003	7/1/2004
Inactive	Resident	Apprentice Adjuster	Not Applicable	7/21/2003	7/7/2004
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/14/2003	7/1/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/14/2003	7/1/2004

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dickens, Bonnie Ann	511933	Apprentice Adjuster - Not Applicable	7/21/2003	7/1/2004