DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stahanczyk, Michael Joesph	DOIID	383174	NAIC NPN	2444003

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/23/2006	9/30/2011
Inactive	Non Resident	Agent	Health	1/23/2006	9/30/2011
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/25/2008	9/30/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/25/2008	9/30/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/30/2006	1/11/2007
Inactive	Humana Insurance Company	301104	Agent - Health	1/30/2006	1/11/2007
Inactive	Humana Insurance Company	301104	Agent - Life	1/30/2006	1/11/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/28/2008	9/30/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/28/2008	9/30/2011
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/22/2008	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/22/2008	11/25/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hylant Group, Inc.	523019	Agent - Life	1/28/2008	2/1/2010
Inactive	Hylant Group, Inc.	523019	Agent - Health	1/28/2008	2/1/2010