DEPARTMENT OF INSURANCE

Affiliations

Name	Metcalf, Michael Anthony	DOIID	373021	NAIC NPN	1591397

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	2/10/2023	10/31/2024
Active	Resident	Agent	Property	2/10/2023	10/31/2024
Active	Resident	Agent	Casualty	2/10/2023	10/31/2024
Active	Resident	Agent	Life	2/10/2023	10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/30/1993	4/22/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/30/1993	4/22/2004
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/2/1994	9/18/1998
Inactive	Companion Life Insurance Company	300191	Agent - Life	11/2/1994	9/18/1998
Inactive	Equitable Reserve Association	301102	Agent - Health	7/1/2002	10/20/2003
Inactive	Equitable Reserve Association	301102	Agent - Life	7/1/2002	10/20/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Health	10/6/1994	9/27/2002
Inactive	Liberty Life Insurance Company	301542	Agent - Life	10/6/1994	9/27/2002
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	7/27/2001	4/21/2004
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	7/27/2001	4/21/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/15/2000	4/6/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/15/2000	4/6/2004
Inactive	Royal Neighbors of America	301646	Agent - Life	7/15/2002	12/15/2003
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Health	1/25/1994	3/31/1997
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Life	1/25/1994	3/31/1997
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/27/1993	4/6/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/27/1993	4/6/2004
Inactive	United Casualty Insurance Company of America	301322	Agent - Casualty	7/13/2022	10/28/2022
Inactive	United Casualty Insurance Company of America	301322	Agent - Property	7/13/2022	10/28/2022
Inactive	United Insurance Company of America	300775	Agent - Health	7/12/2022	10/28/2022
Inactive	United Insurance Company of America	300775	Agent - Life	7/12/2022	10/28/2022
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	9/24/2003	5/17/2004
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	9/24/2003	2/23/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fraternal Financial Services, Inc.	559781	Agent - Life	11/6/2002	2/9/2004
Inactive	American Fraternal Financial Services, Inc.	559781	Agent - Health	11/6/2002	2/9/2004
Inactive	Diversified Financial Group Inc.	401053	Agent - Life	10/22/1993	5/31/2004
Inactive	Diversified Financial Group Inc.	401053	Agent - Health	10/22/1993	5/31/2004
Inactive	Medlink Inc	400721	Agent - Life	1/25/2002	7/15/2004
Inactive	Medlink Inc	400721	Agent - Health	1/25/2002	7/15/2004