DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miceli, Dennis M	DOIID	314449	NAIC NPN	374003

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/10/1997	9/30/2013
Inactive	Non Resident	Agent	Life	4/10/1997	9/30/2013
* 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	Anthem Life Insurance Company	301209	Agent - Health	4/10/1997	3/26/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/10/1997	3/26/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/30/1998	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/30/1998	2/28/2003
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Denied	USI Insurance Services National, Inc	509421	Agent - Health
Denied	Wells Fargo Insurance Services Mountain West, Inc.	533395	Agent - Life
Denied	Wells Fargo Insurance Services Mountain West, Inc.	533395	Agent - Health