DEPARTMENT OF INSURANCE

Affiliations

Name	Lawall, Michael B	DOIID	553147	NAIC NPN	3241961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/14/2014	9/30/2025
Active	Non Resident	Agent	Health	7/14/2014	9/30/2025
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/28/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/28/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	11/28/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/30/2002	6/17/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/30/2002	6/17/2005
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	11/14/2014
Active	Anthem Life Insurance Company	301209	Agent - Life	11/14/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/8/2014	5/4/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/31/2020	12/13/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	11/28/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/8/2014	5/4/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/6/2012	9/30/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Health	7/8/2002	12/13/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Life	7/8/2002	12/13/2002
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/21/2021	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/16/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/16/2015	6/15/2018
Active	Humana Insurance Company	301104	Agent - Health	10/20/2021
Inactive	Humana Insurance Company	301104	Agent - Life	7/16/2015	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/16/2015	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/16/2015	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/16/2015	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/29/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/8/2014	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/8/2014	5/4/2015
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Time Insurance Company	300683	Agent - Health	8/12/2004	9/30/2005
Inactive	Time Insurance Company	300683	Agent - Life	8/12/2004	9/30/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Consolidated Healthcare Solutions LLC	714019	Agent - Health	7/12/2011	9/30/2013
Inactive	Consolidated Healthcare Solutions LLC	714019	Agent - Life	7/12/2011	9/30/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	11/14/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	11/14/2014