DEPARTMENT OF INSURANCE

Affiliations

Name	Wos, Kathleen A	DOIID	625973	NAIC NPN	2033408

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	2/15/2006	12/31/2010
Inactive	Non Resident	Agent	Casualty	2/15/2006	12/31/2010
Inactive	Non Resident	Agent	Health	2/15/2006	12/31/2010
* 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	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/22/2006	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/22/2006	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/22/2006	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/22/2006	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/22/2006	11/5/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/22/2006	11/5/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	3/22/2006	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	3/22/2006	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/22/2006	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/22/2006	11/7/2008
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	3/22/2006	11/7/2007
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	3/22/2006	11/7/2007
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/22/2006	11/5/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/22/2006	11/5/2009
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	3/22/2006	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	3/22/2006	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/22/2006	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/22/2006	11/7/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/5/2006	12/31/2010
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/5/2006	12/31/2010
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/5/2006	12/31/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIZ Ins Services Inc	515291	Agent - Property	4/24/2006	11/5/2009
Inactive	CBIZ Ins Services Inc	515291	Agent - Casualty	4/24/2006	11/5/2009