DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bentley, Michael Shawn	DOIID	525740	NAIC NPN	7217616

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/23/2001	1/31/2004
Inactive	Resident	Agent	Health	5/23/2001	1/31/2004
* 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 General Life and Accident Insurance Company	301362	Agent - Health	5/23/2001	5/24/2002
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	5/23/2001	5/24/2002
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	11/7/2001	10/2/2002
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/28/2002	2/25/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	6/22/2001	2/8/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	6/22/2001	2/8/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/28/2002	2/25/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/28/2002	2/25/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/18/2001	4/25/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mutual Of Omaha Marketing Corporation	399970	Agent - Health	6/10/2002	2/25/2003
Inactive	Mutual Of Omaha Marketing Corporation	399970	Agent - Life	6/10/2002	2/25/2003