DEPARTMENT OF INSURANCE

Affiliations

Name	Michael, Jerry W	DOIID	534727	NAIC NPN	2827056

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/30/2001	10/31/2019
Inactive	Non Resident	Agent	Property	1/4/2007	10/31/2019
Inactive	Non Resident	Agent	Health	7/30/2001	10/31/2019
Inactive	Non Resident	Agent	Casualty	1/4/2007	10/31/2019
* 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	8/28/2013	10/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/28/2013	10/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/28/2013	10/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/30/2001	10/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/30/2001	10/31/2019
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	1/5/2007	12/17/2007
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	1/5/2007	12/17/2007
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/31/2012	12/5/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	3/16/2006	10/31/2019
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/16/2006	10/31/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/7/2012	7/6/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/6/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/15/2015	10/31/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/16/2006	10/31/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/16/2006	10/31/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/7/2012	7/6/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/7/2012	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	7/6/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	7/6/2012
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	10/31/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/12/2012	12/7/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/12/2012	11/29/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/12/2012	11/29/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/12/2012	12/7/2012
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	3/23/2007	10/31/2019
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	3/23/2007	10/31/2019
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	3/23/2007	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	3/23/2007	12/2/2013
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018	10/31/2019
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018	10/31/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/12/2019	10/31/2019

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 - Health	8/13/2001	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/13/2001	6/23/2008
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	3/29/2007	10/31/2019
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	3/29/2007	10/31/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	10/31/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	10/31/2019