DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moulin, Michael Vanis	DOIID	519342	NAIC NPN	869705

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/18/2000	9/6/2013
Inactive	Non Resident	Agent	Health	12/18/2000	9/6/2013
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/21/2006	8/17/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/21/2006	8/17/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/18/2000	9/6/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/18/2000	9/6/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/19/2012	9/6/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/18/2005	9/6/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/18/2005	9/6/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/18/2005	4/13/2012

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	1/16/2001	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/16/2001	6/23/2008