DEPARTMENT OF INSURANCE

Affiliations

Name	Muniz-Olan, Antonio	DOIID	628410	NAIC NPN	8286128

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	3/21/2006	8/31/2013
Inactive	Non Resident	Agent	Life	3/21/2006	8/31/2013
Inactive	Non Resident	Agent	Property	3/21/2006	8/31/2013
Inactive	Non Resident	Agent	Health	3/21/2006	8/31/2013
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/1/2011	8/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/1/2011	8/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/1/2011	8/31/2013
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	4/13/2006	3/18/2009
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	4/13/2006	3/18/2009
Inactive	Nationwide General Insurance Company	300603	Agent - Property	4/13/2006	3/18/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/13/2006	3/18/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/13/2006	3/18/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/13/2006	3/18/2009
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	4/13/2006	3/18/2009
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	4/13/2006	3/18/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	4/13/2006	3/18/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	4/13/2006	3/18/2009
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	4/13/2006	3/18/2009
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	4/13/2006	3/18/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/9/2011	8/31/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/9/2011	8/31/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/9/2011	8/31/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/9/2011	8/31/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	3/22/2007	3/18/2009
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	3/22/2007	3/18/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	6/27/2011	8/31/2013
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	6/27/2011	8/31/2013