DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bujak, Paul	DOIID	753684	NAIC NPN	15936868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/5/2011	6/30/2012
Inactive	Non Resident	Agent	Life	5/5/2011	6/30/2012
* 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	9/22/2011	6/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/22/2011	6/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/22/2011	6/30/2012
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	5/31/2011	11/21/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	5/31/2011	11/21/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/26/2011	12/15/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/26/2011	12/15/2011
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/26/2011	12/15/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	W & R Insurance Agency	398729	Agent - Life	5/31/2011	11/16/2011
Inactive	W & R Insurance Agency	398729	Agent - Health	5/31/2011	11/16/2011