DEPARTMENT OF INSURANCE

Affiliations

Name	Given, Michael Terry	DOIID	377902	NAIC NPN	1640911

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	6/25/1986	4/30/2025
Active	Resident	Agent	Life	6/25/1986	4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AF&L Insurance Company	301582	Agent - Health	5/27/1997	12/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/30/1996	1/28/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/30/1996	1/28/2010
Inactive	American Continental Insurance Company	643130	Agent - Health	7/16/2007	5/12/2011
Inactive	American Continental Insurance Company	643130	Agent - Life	7/16/2007	5/12/2011
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	6/9/2005	7/30/2008
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	11/5/2001	2/4/2003
Inactive	American Medical and Life Insurance Company	301598	Agent - Health	5/21/2009	6/14/2012
Inactive	American National Insurance Company	301861	Agent - Health	2/1/2008	5/28/2021
Inactive	American National Insurance Company	301861	Agent - Life	9/28/1994	3/16/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	11/2/2004	5/1/2013
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	11/2/2004	5/1/2013
Active	Anthem Life Insurance Company	301209	Agent - Health	9/5/1996
Active	Anthem Life Insurance Company	301209	Agent - Life	9/5/1996
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/8/1999	4/15/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/8/1999	4/15/2005
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	4/25/2008	12/23/2010
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	4/25/2008	12/23/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	8/15/1996	11/13/1997
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	8/15/1996	11/13/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	3/15/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	3/15/1996	3/31/1997
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	12/7/2011	8/13/2018
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	4/8/1992	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	4/8/1992	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	4/23/2002	10/15/2003
Inactive	Clover Insurance Company	301587	Agent - Health	6/12/1998	12/31/1998
Inactive	Clover Insurance Company	301587	Agent - Life	6/28/2002	10/8/2003
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/11/2010	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	11/11/2010	6/11/2014
Inactive	Conseco Health Insurance Company	301725	Agent - Health	5/4/2001	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	5/4/2001	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	1/23/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	1/23/2007
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	2/12/1997	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	2/12/1997	12/31/1998
Inactive	Continental General Insurance Company	300691	Agent - Health	8/28/2006	12/6/2006
Inactive	Continental General Insurance Company	300691	Agent - Life	5/30/2000	12/6/2006
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/6/2007	6/29/2010
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/1/2003	5/16/2005
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	6/18/2007	5/11/2011
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	8/19/2003	12/10/2010
Inactive	Federal Life Insurance Company	300945	Agent - Health	5/23/2005	6/21/2006
Inactive	Federal Life Insurance Company	300945	Agent - Life	5/23/2005	6/21/2006
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	8/26/1996	10/18/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/7/2003	3/24/2006
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	12/9/1994	3/31/1997
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	12/9/1994	3/31/1997
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/8/2010	7/7/2022
Inactive	Forethought Life Insurance Company	301407	Agent - Life	6/29/2012	1/17/2014
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	8/3/1994	3/31/1997
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	8/3/1994	3/31/1997
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/9/2017	5/24/2021
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/14/1998	1/23/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/14/1998	1/23/2007
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/19/2010	12/15/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/19/2010	12/15/2011
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/20/1995	12/31/1998
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/20/1995	12/31/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/24/2005	11/13/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/24/2005	11/13/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/24/2005	11/13/2009
Inactive	Integrity Life Insurance Company	301687	Agent - Life	2/6/2002	10/12/2012
Inactive	Inter-State Assurance Company	301556	Agent - Life	10/10/1997	2/22/2002
Inactive	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	12/27/2007	12/13/2012
Inactive	Keyport Life Insurance Company	300319	Agent - Life	8/1/1996	11/18/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/12/1990	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/12/1990	8/2/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/25/1986	1/20/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/25/1986	1/20/2003
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	4/22/2004	12/12/2004
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	4/22/2004	12/12/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/7/2007	12/15/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/7/2007	12/15/2016
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/11/2012	12/18/2014
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	1/4/2007	12/7/2010
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	6/15/2006	9/13/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	6/15/2006	9/13/2012
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	2/10/2006	3/18/2011
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	7/5/2011	11/10/2014
Inactive	MedAmerica Insurance Company	301568	Agent - Health	11/26/2002	5/17/2005
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	10/30/2014	11/15/2016
Inactive	Medico Insurance Company	301559	Agent - Health	6/25/2008	11/15/2016
Inactive	Medico Insurance Company	301559	Agent - Life	6/25/2008	11/15/2016
Inactive	Midland National Life Insurance Company	300923	Agent - Health	11/22/1999	3/1/2005
Inactive	Midland National Life Insurance Company	300923	Agent - Life	3/17/2006	10/6/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/26/2019	2/22/2021
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	12/15/2009	12/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	3/27/2007	9/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	3/27/2007	9/13/2012
Inactive	National Financial Insurance Company	300555	Agent - Health	7/25/1995	3/28/1996
Inactive	National Financial Insurance Company	300555	Agent - Life	7/25/1995	3/28/1996
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	10/12/1994	3/31/1997
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	10/12/1994	3/31/1997
Inactive	National States Insurance Company	300579	Agent - Health	3/10/2009	11/30/2010
Inactive	National States Insurance Company	300579	Agent - Life	3/10/2009	11/30/2010
Inactive	National Western Life Insurance Company	301515	Agent - Health	7/6/1994	7/2/2002
Inactive	National Western Life Insurance Company	301515	Agent - Life	7/6/1994	7/2/2002
Inactive	New York Life Insurance Company	300431	Agent - Health	5/29/2001	1/28/2003
Inactive	New York Life Insurance Company	300431	Agent - Life	5/29/2001	1/28/2003
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	8/15/2006	12/12/2011
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/15/2006	7/19/2010
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	10/15/1992	9/15/1997
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	10/15/1992	9/15/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	3/16/1994	1/25/1996
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	3/16/1994	1/25/1996
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	8/8/2018
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/11/2006	3/19/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	4/11/2006	3/19/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	6/3/1997	3/31/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	6/3/1997	3/31/2009
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	1/28/2010	3/31/2013
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	1/26/1994	5/1/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	1/26/1994	5/1/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/11/2003	12/22/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/11/2003	12/22/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Health	6/11/2003	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	6/11/2003	12/23/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/30/1994	8/11/1997
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/30/1994	8/11/1997
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	12/29/2016	3/6/2018
Active	Security Benefit Life Insurance Company	300583	Agent - Health	5/4/2011
Active	Security Benefit Life Insurance Company	300583	Agent - Life	5/4/2011
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	5/20/1987	1/5/1996
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	5/20/1987	1/5/1996
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	11/8/1999	2/8/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	11/8/1999	2/8/2003
Inactive	Standard Insurance Company	300185	Agent - Health	2/4/1998	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	2/4/1998	12/5/2022
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Health	12/17/1992	3/31/1997
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Life	12/17/1992	3/31/1997
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/2/2000	9/25/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	10/2/2000	9/25/2007
Inactive	Time Insurance Company	300683	Agent - Health	12/11/2000	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	12/11/2000	12/29/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/31/1988	2/13/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/31/1988	2/13/2003
Inactive	USG Annuity & Life Company	300457	Agent - Life	9/8/1993	8/11/2003
Inactive	Union Labor Life Insurance Company	301832	Agent - Life	6/28/2002	10/8/2003
Inactive	United Home Life Insurance Company	300421	Agent - Life	5/27/2008	12/28/2009
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	12/19/1994	3/31/1997
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	12/19/1994	3/31/1997
Inactive	United World Life Insurance Company	300532	Agent - Health	11/23/2022	12/22/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/1/2016	10/23/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/1/2016	10/23/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/5/2004	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/5/2004	6/11/2007
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	6/22/2004	12/20/2006
Inactive	Washington National Insurance Company	300587	Agent - Health	1/25/1990	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	1/25/1990	3/31/1997
Inactive	West Coast Life Insurance Company	301607	Agent - Health	12/13/1999	12/20/2004
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/13/1999	12/20/2004
Inactive	Wilco Life Insurance Company	300122	Agent - Health	5/26/1993	5/5/2003
Inactive	Wilco Life Insurance Company	300122	Agent - Life	5/26/1993	5/5/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/25/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/25/1999	6/23/2008
Inactive	Cornerstone Financial Corporation	399864	Agent - Life	6/14/1995	8/12/1996
Inactive	Cornerstone Financial Corporation	399864	Agent - Health	6/14/1995	8/12/1996
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	2/22/1996	9/12/1997
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	2/22/1996	9/12/1997
Active	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008
Inactive	Family Health & Retirement Services Inc.	399792	Agent - Life	8/26/1987	5/31/2004
Inactive	Family Health & Retirement Services Inc.	399792	Agent - Health	8/26/1987	5/31/2004