DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medina, Angie Maritza	DOIID	696942	NAIC NPN	12567495

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/9/2009	7/31/2010
Inactive	Non Resident	Agent	Life	1/9/2009	7/31/2010
* 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	ACE American Insurance Company	300625	Agent - Health	2/24/2010	7/31/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	5/7/2009	1/27/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	5/7/2009	1/27/2010
Inactive	Union Security Insurance Company	301844	Agent - Health	2/11/2009	5/22/2009
Inactive	Union Security Insurance Company	301844	Agent - Life	2/11/2009	5/22/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	2/11/2009	1/27/2010
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	2/11/2009	1/27/2010