DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Walsh, Michael T	DOIID	383153	NAIC NPN	1759287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2004
Inactive	Resident	Agent	General Lines	2/22/1995	8/15/2000
Inactive	Resident	Agent	Life	8/31/1994	7/1/2004
Inactive	Resident	Agent	Health	8/31/1994	7/1/2004
Inactive	Resident	Agent	Property	8/15/2000	7/1/2004
Inactive	Resident	Managing General Agent	Not Applicable	3/31/1996	12/3/2004
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/12/2002	7/1/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/12/2002	7/1/2004
Inactive	Coregis Insurance Company	300697	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Coregis Insurance Company	300697	Agent - General Lines	6/11/1998	8/15/2000
Inactive	Coregis Insurance Company	300697	Agent - Property	8/15/2000	7/1/2004
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	10/26/1994	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	10/26/1994	9/8/2000
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/1/2004
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/1/2004
Inactive	Westport Insurance Corporation	300448	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Westport Insurance Corporation	301875	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Westport Insurance Corporation	301875	Agent - General Lines	2/22/1995	8/15/2000
Inactive	Westport Insurance Corporation	300448	Agent - General Lines	5/20/1998	8/15/2000
Inactive	Westport Insurance Corporation	300448	Agent - Property	8/15/2000	7/1/2004
Inactive	Westport Insurance Corporation	301875	Agent - Property	8/15/2000	7/1/2004

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	11/14/2002	7/1/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/14/2002	7/1/2004
Inactive	Independent Insurance Agents of KY Inc.	400901	Managing General Agent - Not Applicable	3/31/1996	12/3/2004
Inactive	Independent Insurance Agents of KY Inc.	400901	Agent - Life	8/31/1994	7/1/2004
Inactive	Independent Insurance Agents of KY Inc.	400901	Agent - Health	8/31/1994	7/1/2004
Inactive	Independent Insurance Agents of KY Inc.	400901	Agent - Property	2/20/2003	7/1/2004
Inactive	Independent Insurance Agents of KY Inc.	400901	Agent - Casualty	2/20/2003	7/1/2004