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		12/31/2026
Active	Resident	Agent	Property	11/8/2002		12/31/2026
Active	Resident	Agent	Health	7/6/2004		12/31/2026
Active	Resident	Agent	Life	7/6/2004		12/31/2026
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.

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
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	3/1/2024	1/9/2025
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