DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Evolife Inc.	DOIID	1013385	NAIC NPN	18915134

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/4/2018	3/31/2020
Inactive	Non Resident	Agent	Life	10/4/2018	3/31/2020
* 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	Assurity Life Insurance Company	301099	Agent - Health	12/27/2018	3/31/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/27/2018	3/31/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Schmitz, Michael John	936350	Agent - Health	10/4/2018	3/31/2020
Inactive	Schmitz, Michael John	936350	Agent - Life	10/4/2018	3/31/2020