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DEPARTMENT OF INSURANCE
Affiliations
Name
Bastin, Michael
DOIID
335244
NAIC NPN
7184910
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
7/20/1993
8/7/2018
Inactive
Resident
Agent
Health
7/20/1993
8/7/2018
Inactive
Resident
Agent
Limited Line Credit
1/25/2019
9/30/2020
* 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 Bankers Life Assurance Company of Florida
300171
Agent - Health
4/16/2002
9/29/2003
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Life
4/16/2002
9/29/2003
Inactive
American General Assurance Company
300586
Agent - Health
9/13/1999
12/31/2008
Inactive
American General Assurance Company
300586
Agent - Life
9/13/1999
12/31/2008
Inactive
CICA Life Insurance Company of America
600487
Agent - Limited Line Credit
1/1/2005
2/20/2007
Inactive
First Alliance Insurance Company
301000
Agent - Limited Line Credit
2/20/2003
1/1/2005
Inactive
Franklin Life Insurance Company (The)
300779
Agent - Health
7/20/1993
4/3/1996
Inactive
Franklin Life Insurance Company (The)
300779
Agent - Life
7/20/1993
4/3/1996
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Health
6/24/1996
8/7/2018
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Life
6/24/1996
8/7/2018
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/1/2003
6/14/2005
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
10/1/2003
6/14/2005
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
7/17/1997
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
7/17/1997
10/1/2003
Inactive
Southern Financial Life Insurance Company
300664
Agent - Health
12/7/1998
1/25/1999
Inactive
Southern Financial Life Insurance Company
300664
Agent - Life
12/7/1998
1/25/1999
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
12/28/1995
9/25/1998
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
12/28/1995
9/25/1998
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Farmers National Bank
400890
Agent - Life
10/25/2005
8/7/2018
Inactive
Farmers National Bank
400890
Agent - Health
10/25/2005
8/7/2018
Inactive
Farmers National Bank
400890
Agent - Limited Line Credit
1/8/2004
2/20/2007
Inactive
PBK Bank Inc.
400000
Agent - Life
2/20/2003
3/12/2003
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