DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Storck, David Michael	DOIID	1085551	NAIC NPN	1834414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/5/2020	1/31/2025
Inactive	Non Resident	Agent	Health	5/20/2021	1/31/2025
Inactive	Non Resident	Agent	Limited Line Credit	6/5/2020	1/31/2025
* 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 Health and Life Insurance Company	300844	Agent - Health	5/21/2021	2/22/2024
Inactive	American Health and Life Insurance Company	300844	Agent - Life	6/10/2020	2/22/2024
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	6/10/2020	2/22/2024
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	6/10/2020	2/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Onemain Assurance Services LLC	751094	Agent - Life	6/10/2020	2/22/2024
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	6/10/2020	2/22/2024
Inactive	Onemain Assurance Services LLC	751094	Agent - Health	5/21/2021	2/22/2024