DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Workman, Tonya Renee	DOIID	574557	NAIC NPN	7570001

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/14/2003	7/31/2004
Inactive	Non Resident	Agent	Health	1/30/2004	7/31/2004
Inactive	Non Resident	Agent	Casualty	8/14/2003	7/31/2004
Inactive	Non Resident	Agent	Life	1/30/2004	7/31/2004
* 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	AMEX Assurance Company	301728	Agent - Casualty	9/16/2003	6/24/2004
Inactive	AMEX Assurance Company	301728	Agent - Property	9/16/2003	6/24/2004
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	2/16/2004	7/14/2004
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	2/16/2004	7/14/2004
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	2/16/2004	7/14/2004
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	2/16/2004	7/14/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	2/19/2004	6/1/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	2/19/2004	6/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	12/19/2003	5/14/2004
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	12/19/2003	5/14/2004
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	4/26/2004	5/14/2004
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	4/26/2004	5/14/2004