DEPARTMENT OF INSURANCE

Affiliations

Name	Sieg, Michael Bruce	DOIID	319691	NAIC NPN	522810

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/15/1994	10/31/2011
Inactive	Non Resident	Agent	Health	8/15/1994	10/31/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/19/2003	7/27/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/19/2003	7/27/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/15/1994	1/13/2000
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/15/1994	1/13/2000
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	2/28/2003	6/13/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/2/2004	10/31/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/2/2004	10/31/2011
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/29/2005	12/14/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/29/2005	12/14/2006
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/19/2009	10/31/2011
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/28/2004	4/15/2005
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/28/2004	4/15/2005
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/28/2005	4/1/2007
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/8/2003	9/25/2009
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/8/2003	9/25/2009
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/21/2008	1/14/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	4/26/2005	12/20/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/26/2005	12/20/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/23/2001	5/20/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/23/2001	5/20/2002
Inactive	Independent Order of Foresters	300743	Agent - Life	4/18/2006	12/22/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Health	7/12/2004	11/14/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	7/12/2004	11/14/2006
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	9/13/2001	8/14/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	9/13/2001	8/14/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	9/27/2005	10/2/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/27/2005	10/2/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	8/6/2001	6/5/2007
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/6/2001	6/5/2007
Inactive	Medico Insurance Company	301559	Agent - Health	7/14/2010	12/13/2011
Inactive	Medico Insurance Company	301559	Agent - Life	7/14/2010	12/13/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/13/2003	11/12/2004
Inactive	National States Insurance Company	300579	Agent - Health	8/30/2001	9/9/2002
Inactive	National States Insurance Company	300579	Agent - Life	8/30/2001	9/9/2002
Inactive	Oxford Life Insurance Company	301079	Agent - Health	9/11/2001	1/19/2007
Inactive	Oxford Life Insurance Company	301079	Agent - Life	9/11/2001	1/19/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	4/26/2004	11/27/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	4/26/2004	11/27/2008
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	7/19/2000	8/14/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/19/2000	8/14/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/20/2010
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	8/30/2001	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	8/30/2001	7/18/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	9/22/2005	3/31/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/4/2008	10/20/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/4/2008	10/20/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/29/2011	10/20/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/29/2011	10/20/2011
Inactive	Union Bankers Insurance Company	301769	Agent - Health	8/25/2007	10/28/2008
Inactive	Union Bankers Insurance Company	301769	Agent - Life	8/25/2007	10/28/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/1/2009	12/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/1/2009	12/15/2011

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	1/29/2004	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/29/2004	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	10/31/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	10/31/2011