DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	LTC Marketing Corporation	DOIID	399975	NAIC NPN	2444384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/29/1999	5/31/2005
Inactive	Non Resident	Agent	Life	4/29/1999	5/31/2005
* 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	State Mutual Insurance Company	300359	Agent - Health	4/29/1999	5/31/2005
Inactive	State Mutual Insurance Company	300359	Agent - Life	4/29/1999	5/31/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	White, Michael Anthony	343005	Agent - Health	4/29/1999	5/31/2005
Inactive	White, Michael Anthony	343005	Agent - Life	4/29/1999	5/31/2005