DEPARTMENT OF INSURANCE

Affiliations

Name	Hammond, Mike R	DOIID	338744	NAIC NPN	7186504

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/4/1988	7/1/2004
Inactive	Resident	Agent	Health	10/4/1988	9/30/1999
* 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	Anthem Life Insurance Company	301209	Agent - Health	3/5/1996	9/30/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/5/1996	9/30/1999
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	2/15/1995	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	2/15/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/18/1989	11/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/18/1989	11/12/1998
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	1/30/1997	9/30/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	5/2/2001	12/31/2002
Inactive	Midland National Life Insurance Company	300923	Agent - Health	4/22/1999	9/30/1999
Inactive	Midland National Life Insurance Company	300923	Agent - Life	4/2/2001	7/1/2004
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	8/8/1994	9/30/1999
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	8/8/1994	9/30/1999
Inactive	New York Life Insurance Company	300431	Agent - Health	10/4/1988	9/30/1999
Inactive	New York Life Insurance Company	300431	Agent - Life	10/4/1988	9/30/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	10/4/1988	9/30/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	10/4/1988	9/30/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	5/31/1996	9/30/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	5/31/1996	9/30/1999
Inactive	Protective Life Insurance Company	300638	Agent - Health	2/12/1993	9/30/1999
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/12/1993	9/30/1999
Inactive	Time Insurance Company	300683	Agent - Health	12/29/1988	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	12/29/1988	3/31/1997

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	2/20/1996	9/30/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/20/1996	9/30/1999