DEPARTMENT OF INSURANCE

Affiliations

Name	Dawson, Michael T	DOIID	509977	NAIC NPN	3237885

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	7/14/2006	7/31/2014
Inactive	Non Resident	Agent	Life	12/29/2003	7/31/2014
Inactive	Non Resident	Agent	Property	7/14/2006	7/31/2014
Inactive	Non Resident	Agent	General Lines	6/14/2000	8/15/2000
Inactive	Non Resident	Agent	Health	12/1/2014	7/6/2016
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/9/2015	7/6/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/9/2015	7/6/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/29/2008	10/3/2011
Inactive	American Bankers Insurance Company of Florida	300360	Agent - General Lines	6/14/2000	8/15/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Health	6/14/2000	8/17/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	6/14/2000	8/17/2000
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/28/2004	8/20/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/28/2004	8/20/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/2/2004	7/31/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/2/2004	7/31/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	5/1/2014
Inactive	Delaware Life Insurance Company	301256	Agent - Life	8/10/2006	10/23/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	5/1/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/9/2015	7/6/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/31/2013	7/31/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/31/2013	7/31/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/11/2012	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/19/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	11/11/2008	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2008	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/11/2008	5/1/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/11/2008	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/11/2008	2/24/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	1/11/2012	8/6/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	5/1/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	2/2/2004	6/13/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/2/2004	6/13/2006
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/31/2006	11/17/2006
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/31/2006	11/17/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/31/2006	11/17/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/31/2006	11/17/2006
Inactive	Time Insurance Company	300683	Agent - Health	8/1/2006	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	8/1/2006	12/29/2008
Inactive	United Financial Casualty Company	301886	Agent - Casualty	7/31/2006	11/17/2006
Inactive	United Financial Casualty Company	301886	Agent - Property	7/31/2006	11/17/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/16/2012	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/16/2012	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/9/2013	7/31/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/5/2004	3/4/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/5/2004	3/4/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/9/2013	7/31/2014

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	2/12/2004	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/12/2004	6/21/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/22/2013	7/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	7/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	7/31/2014
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	5/17/2006	6/5/2009
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	5/17/2006	6/5/2009