DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Staley, Michael C	DOIID	373428	NAIC NPN	7201675

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2022
Inactive	Resident	Agent	Vehicle Physical Damage	5/28/2002	3/31/2022
Inactive	Resident	Agent	Credit Life & Health	2/26/1999	8/7/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	2/26/1999	8/7/2000
* 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	American Bankers Life Assurance Company of Florida	300171	Agent - Limited Line Credit	6/26/2012	6/1/2016
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	3/24/2004	6/1/2012
Inactive	American Reliable Insurance Company	301889	Agent - Limited Line Credit	6/26/2012	6/1/2016
Inactive	American Security Insurance Company	300901	Agent - Credit Personal Property & Unemployment	2/26/1999	8/7/2000
Inactive	American Security Insurance Company	300901	Agent - Limited Line Credit	8/7/2000	4/19/2004
Inactive	American Security Insurance Company	300901	Agent - Vehicle Physical Damage	5/28/2002	4/19/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/17/2016	3/31/2022
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/30/2019	3/31/2022
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	3/6/2019	2/15/2021
Inactive	Minnesota Life Insurance Company	300488	Agent - Limited Line Credit	3/31/2016	11/2/2016
Inactive	Securian Casualty Company	642441	Agent - Limited Line Credit	3/31/2016	3/31/2022
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	3/6/2019	2/15/2021
Inactive	Standard Guaranty Insurance Company	300902	Agent - Limited Line Credit	3/15/2002	4/19/2004
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	3/24/2004	6/1/2012
Inactive	Triton Insurance Company	300654	Agent - Vehicle Physical Damage	3/24/2004	6/1/2012
Inactive	Union Security Life Insurance Company	300903	Agent - Credit Life & Health	2/26/1999	8/7/2000
Inactive	Union Security Life Insurance Company	300903	Agent - Limited Line Credit	8/7/2000	4/19/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Regency Finance Co	741965	Agent - Limited Line Credit	6/26/2012	3/31/2020
Inactive	Washington Mutual Finance Group, Inc.	533371	Agent - Limited Line Credit	7/22/2002	4/22/2004