DEPARTMENT OF INSURANCE

Affiliations

Name	Hottois, Michael Burton	DOIID	357768	NAIC NPN	7194903

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	11/8/2002		12/31/2024
Active	Resident	Agent	Life	7/6/2004		12/31/2024
Active	Resident	Agent	Property	11/8/2002		12/31/2024
Active	Resident	Agent	Health	7/6/2004		12/31/2024
Inactive	Resident	Agent	General Lines	9/2/1993	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/19/2006	9/24/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/19/2006	9/24/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/15/2006	9/30/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/15/2006	9/30/2007
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	4/13/2006	12/9/2010
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	4/13/2006	12/9/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Health	12/6/2005	9/10/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/6/2005	9/10/2009
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	7/27/2006	12/16/2009
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	7/27/2006	12/16/2009
Inactive	Augustar Life Insurance Company	301816	Agent - Health	7/27/2006	12/16/2009
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/27/2006	12/16/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Health	7/19/2004	10/6/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Life	7/19/2004	10/6/2004
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/1/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	6/6/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	6/6/2014
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	11/8/2002	11/22/2004
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - General Lines	9/2/1993	8/15/2000
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	11/8/2002	11/22/2004
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/25/2010	2/12/2013
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	1/25/2010	2/12/2013
Inactive	Grange Insurance Company	300234	Agent - Casualty	1/25/2010	2/12/2013
Inactive	Grange Insurance Company	300234	Agent - Property	1/25/2010	2/12/2013
Inactive	Grange Life Insurance Company	300128	Agent - Health	1/25/2010	2/12/2013
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/25/2010	2/12/2013
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/25/2010	2/12/2013
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/25/2010	2/12/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/4/2006	6/6/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/4/2006	6/6/2014
Inactive	Humana Insurance Company	301104	Agent - Life	5/4/2006	6/6/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/4/2006	6/6/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/4/2006	6/6/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/20/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/20/2012	12/19/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/1/2005	12/29/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/1/2005	12/29/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/30/2013	6/6/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/30/2013	6/6/2014
Active	Lancer Insurance Company	300483	Agent - Casualty	3/16/2007
Active	Lancer Insurance Company	300483	Agent - Property	3/16/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	7/19/2004	10/6/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	7/19/2004	10/6/2004
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/27/2006	11/1/2010
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	3/12/2009	8/11/2009
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	3/12/2009	8/11/2009
Inactive	Nationwide General Insurance Company	300603	Agent - Property	3/12/2009	8/11/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/12/2009	8/11/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/12/2009	8/11/2009
Denied	Nationwide Life and Annuity Insurance Company	300714	Agent - Health
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/12/2009	8/11/2009
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	3/12/2009	8/11/2009
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	3/12/2009	8/11/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/12/2009	8/11/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/12/2009	8/11/2009
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	3/12/2009	8/11/2009
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	3/12/2009	8/11/2009
Inactive	Time Insurance Company	300683	Agent - Health	5/22/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	5/22/2014	12/20/2014
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	1/25/2010	2/12/2013
Inactive	Trustgard Insurance Company	300104	Agent - Property	1/25/2010	2/12/2013
Inactive	United World Life Insurance Company	300532	Agent - Health	7/27/2006	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/27/2006	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/27/2006	11/1/2010
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	3/12/2009	8/11/2009
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	3/12/2009	8/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	7/5/2006	1/9/2014
Active	Futurity First Insurance Group LLC	676947	Agent - Property	6/11/2019
Active	Futurity First Insurance Group LLC	676947	Agent - Casualty	6/11/2019
Denied	Futurity First Insurance Group LLC	676947	Agent - Health
Denied	Futurity First Insurance Group LLC	676947	Agent - Life
Active	H&H Insurance, LLC	687881	Agent - Property	8/27/2008
Active	H&H Insurance, LLC	687881	Agent - Casualty	8/27/2008
Active	H&H Insurance, LLC	687881	Agent - Health	8/27/2008
Active	H&H Insurance, LLC	687881	Agent - Life	8/27/2008
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Property	10/12/2011	2/1/2016
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Casualty	10/12/2011	2/1/2016
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Health	10/12/2011	12/20/2014
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Life	10/12/2011	12/20/2014