DEPARTMENT OF INSURANCE

Affiliations

Name	Segal, Michael	DOIID	374674	NAIC NPN	59051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	11/29/1999	11/13/2002
Inactive	Non Resident	Agent	Property	8/15/2000	11/13/2002
Inactive	Non Resident	Agent	Health Maintenance Organization	6/8/2000	3/1/2001
Inactive	Non Resident	Agent	General Lines	3/31/1983	8/15/2000
Inactive	Non Resident	Agent	Prepaid Dental Plan	2/24/2000	3/1/2001
Inactive	Non Resident	Agent	Health	9/2/1992	11/13/2002
Inactive	Non Resident	Agent	Life	9/2/1992	11/13/2002
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/13/2002
* 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	ACE American Insurance Company	300625	Agent - Casualty	3/23/2001	10/21/2002
Inactive	ACE American Insurance Company	300625	Agent - Property	3/23/2001	10/21/2002
Inactive	Aetna Health Inc.	300694	Agent - Health	9/6/2001	11/13/2002
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/6/2001	11/13/2002
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/6/2001	11/13/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	3/20/2000	11/13/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	3/20/2000	11/13/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	11/13/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	5/24/1996	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	11/13/2002
Inactive	American Continental Insurance Company	300838	Agent - Casualty	8/15/2000	8/6/2002
Inactive	American Continental Insurance Company	300838	Agent - General Lines	5/16/1994	8/15/2000
Inactive	American Continental Insurance Company	300838	Agent - Property	8/15/2000	8/6/2002
Inactive	American General Life Insurance Company	301585	Agent - Life	1/14/1997	11/13/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	7/2/2001	11/13/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	7/2/2001	11/13/2002
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/11/2002	11/13/2002
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/11/2002	11/13/2002
Inactive	American Home Assurance Company	300246	Agent - Casualty	8/15/2000	11/13/2002
Inactive	American Home Assurance Company	300246	Agent - General Lines	3/1/1995	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2000	11/13/2002
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Casualty	8/15/2000	11/13/2002
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - General Lines	8/14/2000	8/15/2000
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Property	8/15/2000	11/13/2002
Inactive	American Motorists Insurance Company	301212	Agent - Casualty	8/15/2000	11/13/2002
Inactive	American Motorists Insurance Company	301212	Agent - General Lines	8/14/2000	8/15/2000
Inactive	American Motorists Insurance Company	301212	Agent - Property	8/15/2000	11/13/2002
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/11/2002	11/13/2002
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/11/2002	11/13/2002
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	8/15/2000	11/13/2002
Inactive	American and Foreign Insurance Company	301124	Agent - General Lines	4/21/1998	8/15/2000
Inactive	American and Foreign Insurance Company	301124	Agent - Property	8/15/2000	11/13/2002
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Arrowood Indemnity Company	300144	Agent - General Lines	4/21/1998	8/15/2000
Inactive	Arrowood Indemnity Company	300144	Agent - Property	8/15/2000	11/13/2002
Inactive	Assurance Company of America	300432	Agent - Casualty	10/11/2002	11/13/2002
Inactive	Assurance Company of America	300432	Agent - Property	10/11/2002	11/13/2002
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/17/1998	11/13/2002
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/17/1998	11/13/2002
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	11/13/2002
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	6/8/2000	3/1/2001
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/11/2002	11/13/2002
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	10/11/2002	11/13/2002
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Commerce and Industry Insurance Company	300881	Agent - General Lines	3/1/1995	8/15/2000
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	8/15/2000	11/13/2002
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/19/1999	3/29/2002
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/19/1999	3/29/2002
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Continental Casualty Company	301019	Agent - General Lines	5/24/1996	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	11/13/2002
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/11/2002	11/13/2002
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/11/2002	11/13/2002
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	7/27/1984	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/15/2000	11/13/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Health	11/30/2000	11/13/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/30/2000	11/13/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/27/1996	11/13/2002
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/11/2002	11/13/2002
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/11/2002	11/13/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	6/3/1992	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	11/13/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	6/3/1992	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/13/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	6/3/1992	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/13/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	6/3/1992	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	11/13/2002
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/15/2000	10/21/2002
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	3/31/1983	8/15/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/15/2000	10/21/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/14/2000	11/13/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/14/2000	11/13/2002
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Lamorak Insurance Company	301231	Agent - General Lines	3/31/1983	8/15/2000
Inactive	Lamorak Insurance Company	301231	Agent - Property	8/15/2000	11/13/2002
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - General Lines	8/14/2000	8/15/2000
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	8/15/2000	11/13/2002
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/11/2002	11/13/2002
Inactive	Maryland Casualty Company	301719	Agent - Property	10/11/2002	11/13/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	11/13/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	5/24/1996	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	11/13/2002
Inactive	National Surety Corporation	300087	Agent - Casualty	8/15/2000	11/13/2002
Inactive	National Surety Corporation	300087	Agent - General Lines	10/3/1997	8/15/2000
Inactive	National Surety Corporation	300087	Agent - Property	8/15/2000	11/13/2002
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	11/13/2002
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	3/1/1995	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	11/13/2002
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/11/2002	11/13/2002
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/11/2002	11/13/2002
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	6/14/2000	11/13/2002
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	6/14/2000	11/13/2002
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Pie Insurance Company (The)	300514	Agent - General Lines	4/16/1997	8/15/2000
Inactive	Pie Insurance Company (The)	300514	Agent - Property	8/15/2000	11/13/2002
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	11/9/2000	11/13/2002
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	11/9/2000	11/13/2002
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	11/9/2000	11/13/2002
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	11/9/2000	11/13/2002
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	11/9/2000	11/13/2002
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	11/9/2000	11/13/2002
Inactive	Standard Insurance Company	300185	Agent - Health	4/16/2001	11/13/2002
Inactive	Standard Insurance Company	300185	Agent - Life	4/16/2001	11/13/2002
Inactive	TIG Insurance Company	301750	Agent - Casualty	8/15/2000	11/13/2002
Inactive	TIG Insurance Company	301750	Agent - General Lines	2/10/1997	8/15/2000
Inactive	TIG Insurance Company	301750	Agent - Property	8/15/2000	11/13/2002
Inactive	Time Insurance Company	300683	Agent - Health	6/15/1998	11/13/2002
Inactive	Time Insurance Company	300683	Agent - Life	6/15/1998	11/13/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/2/1992	11/13/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/2/1992	11/13/2002
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	5/24/1996	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	11/13/2002
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Transportation Insurance Company	301575	Agent - General Lines	5/24/1996	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	11/13/2002
Inactive	Travelers Constitution State Insurance Company	300575	Agent - Casualty	11/9/2000	11/13/2002
Inactive	Travelers Constitution State Insurance Company	300575	Agent - Property	11/9/2000	11/13/2002
Inactive	Trustmark Insurance Company	300317	Agent - Health	4/24/2000	11/13/2002
Inactive	Trustmark Insurance Company	300317	Agent - Life	4/24/2000	11/13/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	6/3/1992	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/13/2002
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	3/1/2001	11/13/2002
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Prepaid Dental Plan	2/24/2000	3/1/2001
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	5/24/1996	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	11/13/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/14/1998	11/13/2002
Inactive	Westport Insurance Corporation	300448	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Westport Insurance Corporation	300448	Agent - General Lines	4/20/1998	8/15/2000
Inactive	Westport Insurance Corporation	300448	Agent - Property	8/15/2000	11/13/2002
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	3/31/1983	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/15/2000	11/13/2002
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/4/2002	11/13/2002
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/4/2002	11/13/2002
Inactive		301729	Agent - Casualty	8/15/2000	11/13/2002
Inactive		301729	Agent - General Lines	8/14/2000	8/15/2000
Inactive		301729	Agent - Property	8/15/2000	11/13/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Near North Entertainment Insurance Services LLC	509616	Agent - General Lines	6/15/2000	8/15/2000
Inactive	Near North Entertainment Insurance Services LLC	509616	Agent - Life	6/20/2000	11/13/2002
Inactive	Near North Entertainment Insurance Services LLC	509616	Agent - Health	6/20/2000	11/13/2002
Inactive	Near North Entertainment Insurance Services LLC	509616	Agent - Property	8/15/2000	11/13/2002
Inactive	Near North Entertainment Insurance Services LLC	509616	Agent - Casualty	8/15/2000	11/13/2002
Inactive	Near North Insurance Brokerage, Inc.	505513	Administrator - Not Applicable	11/29/1999	11/13/2002