DEPARTMENT OF INSURANCE

Name	Wegenast, Betty Jean	DOIID	345359	NAIC NPN	1495440

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/22/1987	7/1/2002
Inactive	Resident	Agent	Health Maintenance Organization	9/6/1985	4/2/2001
Inactive	Resident	Agent	Health	11/2/2001	7/1/2002

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	602 W. Main St Mitchell, IN 47446
Mailing	11506 Maple Way Louisville, KY 402292211
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(812) 849-0826
Fax	(812) 849-0829