DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stuart, Michael Wade	DOIID	312020	NAIC NPN	234539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/22/1991	1/8/1996
Inactive	Non Resident	Agent	Health	4/15/1993	12/1/2011
Inactive	Non Resident	Agent	Life	4/15/1993	12/1/2011
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	11/21/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	12/1/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/9/1997	11/21/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/9/1997	12/1/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/15/1993	9/11/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/15/1993	9/11/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMA Insurance Agency Inc.	396159	Administrator - Not Applicable	3/22/1991	1/8/1996