DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wheatley, Michael R	DOIID	523332	NAIC NPN	5307704

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/3/2008	10/1/2011
Inactive	Resident	Agent	Life	3/3/2008	10/1/2011
* 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	American Republic Insurance Company	300861	Agent - Health	1/12/2006	11/29/2006
Inactive	American Republic Insurance Company	300861	Agent - Life	1/12/2006	11/29/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/7/2005	4/28/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/7/2005	4/28/2007
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	3/5/2008	8/3/2010
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	3/5/2008	8/3/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	7/19/2004	3/2/2007
Denied	Woodmen Insurance Agency, Inc.	579244	Agent - Health