DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wells, Monica Lynn	DOIID	575253	NAIC NPN	7842611

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/19/2003	2/28/2006
Inactive	Resident	Agent	Life	9/18/2003	2/28/2006
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/19/2003	8/31/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/18/2003	8/31/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	8/19/2004	2/28/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	8/19/2004	2/28/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	8/19/2004	2/28/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	8/19/2004	2/28/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	7/15/2004	2/28/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insuramax LLC	400061	Agent - Health	6/16/2004	2/28/2006
Inactive	Insuramax LLC	400061	Agent - Life	6/16/2004	2/28/2006