DEPARTMENT OF INSURANCE

Affiliations

Name	Owen Sr, Mickey Dean	DOIID	547618	NAIC NPN	7225029

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	4/12/2004	7/1/2013
Inactive	Resident	Agent	Life	4/25/2002	7/1/2013
Inactive	Resident	Agent	Property	11/25/2003	7/1/2013
Inactive	Resident	Agent	Health	4/25/2002	7/1/2013
Inactive	Resident	Agent	Casualty	11/25/2003	7/1/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/29/2004	7/1/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/29/2004	7/1/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	4/15/2004	7/1/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/23/2009	1/5/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/23/2009	1/5/2011
Inactive	American Fidelity Assurance Company	301004	Agent - Health	8/1/2004	7/1/2013
Inactive	American Fidelity Assurance Company	301004	Agent - Life	8/1/2004	7/1/2013
Inactive	American General Life Insurance Company	301585	Agent - Health	3/1/2004	3/22/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	3/1/2004	3/22/2011
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	5/1/2004	5/6/2009
Inactive	American Public Life Insurance Company	300252	Agent - Health	5/23/2003	8/16/2005
Inactive	American Public Life Insurance Company	300252	Agent - Life	5/23/2003	8/16/2005
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	2/21/2003	7/1/2013
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/7/2003	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/7/2003	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	2/21/2003	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	2/21/2003	12/26/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/14/2003	11/6/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/14/2003	11/6/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/7/2004	9/28/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/7/2004	9/28/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/23/2004	11/14/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/23/2004	11/14/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/23/2004	11/12/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/23/2004	11/12/2010
Inactive	MedAmerica Insurance Company	301568	Agent - Health	10/6/2003	5/17/2005
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/6/2004	12/8/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/6/2004	12/8/2008
Inactive	Protective Life Insurance Company	300638	Agent - Health	2/12/2003	7/1/2013
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/12/2003	7/1/2013
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	6/22/2004	7/1/2013
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	3/31/2004	10/7/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	3/31/2004	10/7/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	4/12/2004	10/7/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	3/31/2004	10/7/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	3/31/2004	10/7/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	4/12/2004	10/7/2007
Inactive	Time Insurance Company	300683	Agent - Health	6/18/2003	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	6/18/2003	12/29/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/5/2003	12/8/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Cost Containment Systems, Inc.	598591	Agent - Casualty
Inactive	Medlink Inc	400721	Agent - Health	1/14/2003	7/1/2013
Inactive	Medlink Inc	400721	Agent - Life	1/14/2003	7/1/2013