DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mickelsen, Marc S	DOIID	1451939	NAIC NPN	8547415

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/11/2026		5/31/2028
Active	Non Resident	Agent	Health	3/11/2026		5/31/2028
* 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
Active	American United Life Insurance Company	300498	Agent - Health	9/1/2026
Active	American United Life Insurance Company	300498	Agent - Life	9/1/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	IMA Inc	766098	Agent - Life
Denied	IMA Inc	766098	Agent - Health