DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sturgill-Lack, Michelle Diane	DOIID	378656	NAIC NPN	719781

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/26/1998	10/31/2003
Inactive	Non Resident	Agent	Life	2/26/1998	10/31/2003
* 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	Combined Insurance Company of America	301472	Agent - Health	2/26/1998	6/27/2001
Inactive	Combined Insurance Company of America	301472	Agent - Life	2/26/1998	6/27/2001
Inactive	Continental Casualty Company	301019	Agent - Health	8/6/2001	10/31/2003
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	12/27/2000	11/6/2001
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	12/27/2000	11/6/2001
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	2/26/1998	11/19/2001
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	2/26/1998	11/19/2001
Inactive	Veterans Life Insurance Company	300589	Agent - Health	12/27/2000	11/6/2001
Inactive	Veterans Life Insurance Company	300589	Agent - Life	12/27/2000	11/6/2001
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/6/2001	10/31/2003
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/6/2001	10/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	7/31/2000	6/10/2002
Inactive	TeleSpectrum, Inc	512199	Agent - Health	7/31/2000	6/10/2002