DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Derringer, J Michele	DOIID	339540	NAIC NPN	7186838

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	8/5/1999	10/3/2005
Inactive	Resident	Agent	Life	9/23/1996	7/1/1998
Inactive	Resident	Agent	Health	9/23/1996	7/1/1998
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/1996	7/1/1998
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/23/1996	7/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Care Continuum, Inc	397854	Administrator - Not Applicable	8/5/1999	10/3/2005