DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Chad Allen	DOIID	662453	NAIC NPN	8432737

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2007	3/31/2011
Inactive	Non Resident	Agent	Life	8/23/2007	3/31/2011
* 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 Life and Accident Insurance Company	300878	Agent - Health	9/17/2007	7/19/2010
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/17/2007	7/19/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	10/15/2007	6/17/2010
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	10/15/2007	6/17/2010