DEPARTMENT OF INSURANCE

Affiliations

Name	Wells Fargo Ins Services Of New York Inc	DOIID	569345	NAIC NPN	2013798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Personal Lines
Inactive	Non Resident	Agent	Life	7/18/2007	1/5/2012
Inactive	Non Resident	Agent	Property	5/9/2003	1/5/2012
Inactive	Non Resident	Agent	Casualty	5/9/2003	1/5/2012
Inactive	Non Resident	Agent	Health	7/18/2007	1/5/2012
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	5/6/2006	9/17/2011
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	5/6/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	5/6/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	5/6/2006	9/17/2011
Inactive	ACE American Insurance Company	300625	Agent - Casualty	10/29/2009	1/3/2012
Inactive	ACE American Insurance Company	300625	Agent - Property	10/29/2009	1/3/2012
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	12/22/2008	1/5/2012
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/22/2008	1/5/2012
Inactive	AXIS Insurance Company	301290	Agent - Casualty	10/11/2011	1/5/2012
Inactive	AXIS Insurance Company	301290	Agent - Property	10/11/2011	1/5/2012
Inactive	American Home Assurance Company	300246	Agent - Casualty	5/6/2006	1/5/2012
Inactive	American Home Assurance Company	300246	Agent - Property	5/6/2006	1/5/2012
Inactive	Arch Insurance Company	300688	Agent - Casualty	4/13/2009	1/5/2012
Inactive	Arch Insurance Company	300688	Agent - Property	4/13/2009	1/5/2012
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	1/17/2008	1/5/2010
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	1/17/2008	1/5/2010
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/5/2009	1/5/2012
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/5/2009	1/5/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/15/2011	1/5/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/15/2011	1/5/2012
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	1/17/2008	1/5/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	1/17/2008	1/5/2010
Inactive	Farmington Casualty Company	301137	Agent - Casualty	1/5/2009	1/5/2012
Inactive	Farmington Casualty Company	301137	Agent - Property	1/5/2009	1/5/2012
Inactive	Federal Insurance Company	301144	Agent - Casualty	5/22/2003	1/5/2012
Inactive	Federal Insurance Company	301144	Agent - Property	5/22/2003	1/5/2012
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	2/4/2010	1/5/2012
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	2/4/2010	1/5/2012
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	6/10/2003	1/5/2012
Inactive	Great Northern Insurance Company	301107	Agent - Property	6/10/2003	1/5/2012
Inactive	Greenwood Insurance Company	301069	Agent - Casualty	12/22/2008	9/17/2011
Inactive	Greenwood Insurance Company	301069	Agent - Property	12/22/2008	9/17/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/15/2011	1/5/2012
Inactive	Humana Insurance Company	301104	Agent - Health	4/15/2011	1/5/2012
Inactive	Humana Insurance Company	301104	Agent - Life	4/15/2011	1/5/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/15/2011	1/5/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/15/2011	1/5/2012
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/25/2010	1/3/2012
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	10/25/2010	1/3/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/15/2011	1/5/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/15/2011	1/5/2012
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	1/17/2008	1/5/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	1/17/2008	1/5/2010
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	10/29/2009	2/19/2010
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	10/29/2009	2/19/2010
Inactive	Pruco Life Insurance Company	300954	Agent - Health	5/7/2010	1/5/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/7/2010	1/5/2012
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	2/24/2010	1/5/2012
Inactive	Rural Community Insurance Company	301891	Agent - Property	2/24/2010	1/5/2012
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	1/5/2009	1/5/2012
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	1/5/2009	1/5/2012
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	1/5/2009	1/5/2012
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	1/5/2009	1/5/2012
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	1/5/2009	1/5/2012
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	1/5/2009	1/5/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/5/2009	1/5/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/5/2009	1/5/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/5/2009	1/5/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/5/2009	1/5/2012
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	1/5/2009	1/5/2012
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	1/5/2009	1/5/2012
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	1/5/2009	1/5/2012
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	1/5/2009	1/5/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/5/2009	1/5/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/5/2009	1/5/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/5/2009	1/5/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/5/2009	1/5/2012
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/5/2009	1/5/2012
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/5/2009	1/5/2012
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	1/5/2009	1/5/2012
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	1/5/2009	1/5/2012
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	10/25/2010	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	1/3/2012
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	10/25/2010	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	1/3/2012
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	7/21/2006	1/5/2012
Inactive	XL Specialty Insurance Company	301605	Agent - Property	7/21/2006	1/5/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ferreira, Veronica	769191	Agent - Casualty
Denied	Ferreira, Veronica	769191	Agent - Property
Inactive	Gandolfo, Vincent John	390150	Agent - Health	2/18/2011	1/5/2012
Inactive	Gandolfo, Vincent John	390150	Agent - Life	2/18/2011	1/5/2012
Inactive	Jasen, Lawrence N	656442	Agent - Casualty	8/30/2007	1/5/2010
Denied	Jasen, Lawrence N	656442	Agent - Personal Lines
Inactive	Jasen, Lawrence N	656442	Agent - Property	8/30/2007	1/5/2010
Inactive	Kelly, Thomas A	320434	Agent - Health	7/18/2007	1/5/2012
Inactive	Kelly, Thomas A	320434	Agent - Life	7/18/2007	1/5/2012
Denied	McGraw, Theodore	769190	Agent - Casualty
Denied	McGraw, Theodore	769190	Agent - Property
Inactive	Memmesheimer, Peter	626696	Agent - Casualty	2/18/2011	1/5/2012
Inactive	Memmesheimer, Peter	626696	Agent - Property	2/18/2011	1/5/2012
Inactive	Schlussel, Stephen Phillip	336704	Agent - Casualty	5/9/2003	1/5/2012
Inactive	Schlussel, Stephen Phillip	336704	Agent - Property	5/9/2003	1/5/2012
Inactive	Ward, Lawrence S	737503	Agent - Casualty	3/24/2011	1/5/2012
Inactive	Ward, Lawrence S	737503	Agent - Property	3/24/2011	1/5/2012