DEPARTMENT OF INSURANCE

Affiliations

Name	Lafavers, Michael J	DOIID	333469	NAIC NPN	5954169

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	3/24/2003
Inactive	Resident	Agent	Assessment Chapter 299	6/25/1998	12/1/2000
Inactive	Resident	Agent	General Lines	8/23/1983	8/15/2000
Inactive	Resident	Agent	Life	9/23/1983	3/24/2003
Inactive	Resident	Agent	Property	8/15/2000	3/24/2003
Inactive	Resident	Agent	Health	9/23/1983	3/24/2003
* 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	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	3/24/2003
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	7/10/1992	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	3/24/2003
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	3/24/2003
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/20/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	3/24/2003
Inactive	Assurance Company of America	300432	Agent - General Lines	6/3/1992	3/31/1996
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	5/20/1999	3/24/2003
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	5/20/1999	3/24/2003
Inactive	First Mutual Insurance Company	301258	Agent - Assessment Chapter 299	6/25/1998	12/1/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/27/1983	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/27/1983	3/31/1997
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/15/2000	3/28/2003
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	11/13/1997	8/15/2000
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/15/2000	3/28/2003
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/15/2000	3/28/2003
Inactive	Grange Insurance Company	300234	Agent - General Lines	9/23/1983	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - Property	8/15/2000	3/28/2003
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/23/1983	3/28/2003
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/23/1983	3/28/2003
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	8/15/2000	9/30/2003
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	11/5/1987	8/15/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	8/15/2000	9/30/2003
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/15/2000	9/30/2003
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	6/4/1986	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/15/2000	9/30/2003
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000	9/30/2003
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	8/23/1983	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000	9/30/2003
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	3/1/1988	4/9/2001
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	3/1/1988	4/9/2001
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	4/24/2002	3/24/2003
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	9/12/1991	3/31/1996
Inactive	Kentucky National Insurance Company	301625	Agent - Property	4/24/2002	3/24/2003
Inactive	Maryland Casualty Company	301719	Agent - General Lines	6/3/1992	3/31/1996
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	6/3/1992	3/31/1996
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/3/1989	3/24/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/3/1989	3/24/2003
Inactive	RLI Insurance Company	301217	Agent - Casualty	8/15/2000	9/4/2002
Inactive	RLI Insurance Company	301217	Agent - General Lines	2/25/1988	8/15/2000
Inactive	RLI Insurance Company	301217	Agent - Property	8/15/2000	9/4/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/26/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	3/2/1988	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/26/2003
Inactive	Titan Indemnity Company	300556	Agent - General Lines	9/29/1989	3/31/1996
Inactive	Western Surety Company	300283	Agent - General Lines	5/21/1991	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lafavers Insurance Agency Inc.	399497	Agent - General Lines	1/25/1985	8/15/2000
Inactive	Lafavers Insurance Agency Inc.	399497	Agent - Property	8/15/2000	3/24/2003
Inactive	Lafavers Insurance Agency Inc.	399497	Agent - Casualty	8/15/2000	3/24/2003