DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Corwin, Michael W	DOIID	342208	NAIC NPN	7188000

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/23/1987	12/1/2000
Inactive	Resident	Agent	Life	3/23/1987	12/1/2000
Inactive	Resident	Agent	Limited Line Credit	2/5/2010	6/30/2011
Inactive	Resident	Specialty Credit Insurance Managing Employee	Not Applicable	12/12/2002	6/27/2007
* 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	Specialty Credit Insurance Managing Employee - Not Applicable	10/17/2006	6/18/2007
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	4/1/1992	12/31/1998
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	4/1/1992	12/31/1998
Inactive	Central States Health and Life Company of Omaha	301874	Specialty Credit Insurance Managing Employee - Not Applicable	12/12/2002	6/27/2007
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	4/1/1992	12/1/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	10/5/1998	12/1/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	10/5/1998	12/1/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	2/12/2010	6/30/2011
Inactive	Southern Financial Life Insurance Company	300664	Specialty Credit Insurance Managing Employee - Not Applicable	12/12/2002	6/16/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/23/1987	9/22/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/23/1987	9/22/1998
Inactive	Union Security Life Insurance Company	300903	Specialty Credit Insurance Managing Employee - Not Applicable	7/7/2003	12/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National City Bank	639974	Specialty Credit Insurance Managing Employee - Not Applicable	9/19/2006	6/27/2007
Inactive	National City Bank of Kentucky	400904	Specialty Credit Insurance Managing Employee - Not Applicable	12/12/2002	12/1/2006