DEPARTMENT OF INSURANCE

Affiliations

Name	Matusik, Wayne Martin	DOIID	371448	NAIC NPN	252189

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/7/1997	5/31/2013
Inactive	Non Resident	Agent	Life	5/7/1997	5/31/2013
* 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	AAA Life Insurance Company	300287	Agent - Health	8/25/2005	6/1/2012
Inactive	AAA Life Insurance Company	300287	Agent - Life	8/25/2005	6/1/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	7/6/2004	4/17/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	7/6/2004	4/17/2009
Inactive	Continental Casualty Company	301019	Agent - Health	11/18/2002	11/29/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Health	5/7/1997	5/27/1999
Inactive	Everlake Life Insurance Company	300873	Agent - Life	5/7/1997	5/27/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Health	6/2/2003	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/2/2003	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/12/2003	5/31/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/12/2003	5/31/2013
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/28/2004	8/29/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/28/2004	8/29/2005
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	3/5/2004	10/5/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Health	10/24/2002	1/9/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	10/24/2002	1/9/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/15/2004	2/23/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/15/2004	2/23/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/17/1998	9/5/2000
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/8/2004	2/27/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/8/2004	2/27/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	11/13/2003	8/29/2005
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	11/13/2003	8/29/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/17/1998	9/5/2000
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/17/1998	9/5/2000
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	3/5/2004	10/5/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	8/14/2003	9/6/2005
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	8/14/2003	9/6/2005