DEPARTMENT OF INSURANCE

Affiliations

Name	Piatt, Michael J	DOIID	355419	NAIC NPN	517598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/4/2015	4/30/2022
Inactive	Non Resident	Agent	Health	5/4/2015	4/30/2022
* 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 National Insurance Company	301861	Agent - Health	2/22/2017	10/15/2019
Inactive	American National Insurance Company	301861	Agent - Life	2/22/2017	10/15/2019
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	9/1/1994	3/31/1997
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	9/1/1994	3/31/1997
Inactive	Augustar Life Insurance Company	301816	Agent - Health	8/18/1994	3/31/1997
Inactive	Augustar Life Insurance Company	301816	Agent - Life	8/18/1994	3/31/1997
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	6/2/2015	4/29/2020
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	6/2/2015	4/29/2020
Inactive	Columbian Life Insurance Company	300810	Agent - Life	8/18/2015	12/20/2018
Inactive	Encova Life Insurance Company	301818	Agent - Life	10/14/2015	4/30/2022
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/6/2015	4/29/2020
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/6/2015	4/29/2020
Inactive	Independent Order of Foresters	300743	Agent - Life	9/9/2016	4/26/2018
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	9/1/2015	10/16/2019
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	9/1/2015	10/16/2019
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	8/22/2017	3/1/2021
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	8/22/2017	12/11/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/19/2017	4/30/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/28/1994	5/3/1999
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/28/1994	5/3/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BD Capital Partners LLC	834170	Agent - Life	5/29/2015	11/27/2019
Inactive	BD Capital Partners LLC	834170	Agent - Health	5/29/2015	11/27/2019