DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stevens, Michael Keith	DOIID	306722	NAIC NPN	260406

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/30/1994	4/30/2024
Inactive	Non Resident	Agent	Life	3/30/1994	4/30/2024
* 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	Conseco Medical Insurance Company	300719	Agent - Health	2/23/1998	1/17/2002
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	2/23/1998	1/17/2002
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/19/2007	6/11/2009
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/19/2007	6/11/2009
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	9/28/1994	12/31/1998
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	9/28/1994	12/31/1998
Inactive	United American Insurance Company	300910	Agent - Health	3/30/1994	4/30/2024
Inactive	United American Insurance Company	300910	Agent - Life	3/30/1994	4/30/2024
Inactive	United Investors Life Insurance Company	301873	Agent - Life	1/7/2002	2/17/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farm & Ranch Healthcare Inc	581625	Agent - Life	10/8/2004	3/31/2024
Inactive	Farm & Ranch Healthcare Inc	581625	Agent - Health	10/8/2004	3/31/2024