DEPARTMENT OF INSURANCE

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