DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Mickey	DOIID	384552	NAIC NPN	2787593

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	12/5/1980	8/15/2000
Inactive	Resident	Agent	Life	8/27/2002	8/1/2011
Inactive	Resident	Agent	Property	8/27/2002	8/1/2011
Inactive	Resident	Agent	Casualty	8/27/2002	8/1/2011
Inactive	Resident	Agent	Health	8/27/2002	8/1/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	6/27/1997	7/1/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/27/1997	7/1/2002
Inactive	American National Insurance Company	301861	Agent - Health	9/16/1993	3/31/1997
Inactive	American National Insurance Company	301861	Agent - Life	9/16/1993	3/31/1997
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	5/12/1993	3/31/1997
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	5/12/1993	3/31/1997
Inactive	Assured Life Association	300353	Agent - Life	7/28/1997	3/19/1998
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/2/2005	12/10/2008
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/2/2005	12/10/2008
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	8/2/2005	12/9/2008
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	8/2/2005	12/9/2008
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	12/30/2003	2/29/2004
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	12/30/2003	2/29/2004
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	3/2/1993	3/31/1997
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	3/2/1993	3/31/1997
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	9/19/2003	2/26/2009
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	9/19/2003	2/26/2009
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Casualty	8/27/2002	9/12/2006
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - General Lines	12/5/1980	8/15/2000
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Health	12/5/2002	9/11/2006
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Property	8/27/2002	9/12/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/21/2003	5/20/2005
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/21/2003	5/20/2005
Inactive	Continental General Insurance Company	300691	Agent - Health	3/3/2000	10/8/2001
Inactive	Continental General Insurance Company	300691	Agent - Life	3/3/2000	10/8/2001
Inactive	Encova Life Insurance Company	301818	Agent - Life	12/18/2000	7/1/2002
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/12/2006	12/14/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/12/2006	12/14/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/16/2002	11/6/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/16/2002	11/6/2006
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	11/6/1996	8/15/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/27/1997	7/1/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/27/1997	7/1/2002
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	2/3/2004	9/12/2007
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	2/3/2004	9/12/2007
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	2/8/2002	7/1/2002
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	2/8/2002	7/1/2002
Inactive	National Casualty Company	301483	Agent - Health	12/22/1980	7/1/2002
Inactive	Old American Insurance Company	300762	Agent - Health	9/15/1999	3/19/2001
Inactive	Old American Insurance Company	300762	Agent - Life	9/15/1999	3/19/2001
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/2/2005	12/10/2008
Inactive	Owners Insurance Company	300796	Agent - Property	8/2/2005	12/10/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	9/12/2003	11/21/2004
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	9/12/2003	11/21/2004
Inactive	Time Insurance Company	300683	Agent - Health	11/19/1998	6/25/2001
Inactive	Time Insurance Company	300683	Agent - Life	11/19/1998	6/25/2001
Inactive	Trinity Life Insurance Company	552459	Agent - Life	3/3/2003	12/22/2003
Inactive	Trustmark Insurance Company	300317	Agent - Health	3/10/1994	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	3/10/1994	3/31/1997
Inactive	United American Insurance Company	300910	Agent - Health	8/7/1987	12/21/2000
Inactive	United American Insurance Company	300910	Agent - Life	8/7/2000	12/21/2000
Inactive	United Home Life Insurance Company	300421	Agent - Life	2/18/2005	7/10/2006
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	2/17/2004	12/19/2008
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	2/17/2004	12/19/2008
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	9/26/2006	1/31/2011
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	9/26/2006	1/31/2011
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	9/26/2006	1/31/2011
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	9/26/2006	1/31/2011
Inactive	Vesta Fire Insurance Corporation	300828	Agent - General Lines	3/23/1993	6/23/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	1/31/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	1/31/1995	3/31/1997
Inactive	Western Surety Company	300283	Agent - Casualty	9/4/2002	10/24/2006
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	8/12/1997	12/18/1998
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	8/12/1997	12/18/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMI P&C, Inc.	600128	Agent - Property	6/14/2005	2/23/2007
Inactive	CMI P&C, Inc.	600128	Agent - Casualty	6/14/2005	2/23/2007
Inactive	Commercial Bank (Kentucky) Inc.	551255	Agent - Life	10/9/2006	2/26/2009
Inactive	Commercial Bank (Kentucky) Inc.	551255	Agent - Health	10/9/2006	2/26/2009
Inactive	Commercial Bank (Kentucky) Inc.	551255	Agent - Property	10/9/2006	2/9/2010
Inactive	Commercial Bank (Kentucky) Inc.	551255	Agent - Casualty	10/9/2006	2/9/2010
Inactive	Insurance One Inc.	399840	Agent - Life	3/3/1992	7/1/2002
Inactive	Insurance One Inc.	399840	Agent - Health	3/3/1992	7/1/2002