DEPARTMENT OF INSURANCE

Affiliations

Name	Wausau Signature Agency L L C	DOIID	697549	NAIC NPN	12451439

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Variable Life and Variable Annuities
Inactive	Non Resident	Agent	Life	1/20/2009	7/31/2009
Inactive	Non Resident	Agent	Casualty	1/20/2009	7/31/2009
Inactive	Non Resident	Agent	Health	1/20/2009	7/31/2009
Inactive	Non Resident	Agent	Property	1/20/2009	7/31/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	7/30/2009	7/31/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beck, Kevin D	615593	Agent - Casualty	1/20/2009	5/7/2009
Inactive	Beck, Kevin D	615593	Agent - Health	1/20/2009	5/7/2009
Inactive	Beck, Kevin D	615593	Agent - Life	1/20/2009	5/7/2009
Inactive	Beck, Kevin D	615593	Agent - Property	1/20/2009	5/7/2009
Inactive	Caruso, Joseph	678248	Agent - Casualty	1/20/2009	7/31/2009
Inactive	Caruso, Joseph	678248	Agent - Property	1/20/2009	7/31/2009
Inactive	Cyterski, Christopher	513267	Agent - Casualty	1/20/2009	7/31/2009
Inactive	Cyterski, Christopher	513267	Agent - Health	1/20/2009	7/31/2009
Inactive	Cyterski, Christopher	513267	Agent - Life	1/20/2009	7/31/2009
Inactive	Cyterski, Christopher	513267	Agent - Property	1/20/2009	7/31/2009
Inactive	Douglas, David	595510	Agent - Casualty	1/20/2009	7/31/2009
Inactive	Douglas, David	595510	Agent - Health	1/20/2009	7/31/2009
Inactive	Douglas, David	595510	Agent - Life	1/20/2009	7/31/2009
Inactive	Douglas, David	595510	Agent - Property	1/20/2009	7/31/2009
Inactive	Flanders, Rodney	642925	Agent - Casualty	1/20/2009	7/31/2009
Inactive	Flanders, Rodney	642925	Agent - Health	1/20/2009	7/31/2009
Inactive	Flanders, Rodney	642925	Agent - Life	1/20/2009	7/31/2009
Inactive	Flanders, Rodney	642925	Agent - Property	1/20/2009	7/31/2009
Inactive	Gabbard, Vivian Lee	327649	Agent - Casualty	1/20/2009	7/31/2009
Inactive	Gabbard, Vivian Lee	327649	Agent - Health	1/20/2009	7/31/2009
Inactive	Gabbard, Vivian Lee	327649	Agent - Life	1/20/2009	7/31/2009
Inactive	Gabbard, Vivian Lee	327649	Agent - Property	1/20/2009	7/31/2009
Inactive	Kulhanek, David Alan	312882	Agent - Casualty	1/20/2009	7/31/2009
Inactive	Kulhanek, David Alan	312882	Agent - Health	1/20/2009	7/31/2009
Inactive	Kulhanek, David Alan	312882	Agent - Life	1/20/2009	7/31/2009
Inactive	Kulhanek, David Alan	312882	Agent - Property	1/20/2009	7/31/2009
Inactive	Martin, Horace	516282	Agent - Casualty	1/20/2009	7/31/2009
Inactive	Martin, Horace	516282	Agent - Property	1/20/2009	7/31/2009
Inactive	Roen, Jason D	601989	Agent - Life	1/20/2009	7/31/2009
Denied	Roen, Jason D	601989	Agent - Variable Life and Variable Annuities
Inactive	Webster, James	545583	Agent - Casualty	1/20/2009	7/31/2009
Inactive	Webster, James	545583	Agent - Health	1/20/2009	7/31/2009
Inactive	Webster, James	545583	Agent - Life	1/20/2009	7/31/2009
Inactive	Webster, James	545583	Agent - Property	1/20/2009	7/31/2009