DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Soroka, Jay A	DOIID	666629	NAIC NPN	678563

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/22/2007	4/3/2012
Inactive	Non Resident	Agent	Health	10/22/2007	4/3/2012
Inactive	Non Resident	Agent	Casualty	10/22/2007	4/3/2012
Inactive	Non Resident	Agent	Life	10/22/2007	4/3/2012
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/10/2011	4/3/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/10/2011	4/3/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/10/2011	4/3/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	7/5/2011	4/3/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	7/5/2011	4/3/2012
Denied	USI Insurance Services National, Inc	509421	Agent - Property
Denied	USI Insurance Services National, Inc	509421	Agent - Casualty
Denied	Wells Fargo Ins Services Northwest Inc	608327	Agent - Life
Denied	Wells Fargo Ins Services Northwest Inc	608327	Agent - Health
Denied	Wells Fargo Ins Services Northwest Inc	608327	Agent - Property
Denied	Wells Fargo Ins Services Northwest Inc	608327	Agent - Casualty