DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goins, Michelle Scott	DOIID	332334	NAIC NPN	1647882

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/7/1999	3/31/2006
Inactive	Non Resident	Agent	Health	5/7/1999	3/31/2006
* 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	Continental Casualty Company	301019	Agent - Health	6/7/2001	12/6/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/5/2004	3/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/5/2004	3/31/2006
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	5/7/1999	11/19/2002
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	5/7/1999	11/19/2002
Inactive	Union Security Insurance Company	301844	Agent - Health	6/25/2001	6/9/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	6/25/2001	3/31/2006
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	6/7/2001	12/6/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	6/7/2001	12/6/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	7/31/2000	5/2/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	7/31/2000	5/2/2003