DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Melanie B	DOIID	732690	NAIC NPN	1131016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/20/2010	2/29/2012
Inactive	Non Resident	Agent	Life	7/20/2010	2/29/2012
* 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	8/26/2010	6/29/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/26/2010	6/29/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/26/2010	6/29/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boon Ins Agency Inc	520756	Agent - Life	12/13/2010	6/29/2011
Inactive	Boon Ins Agency Inc	520756	Agent - Health	12/13/2010	6/29/2011