DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haag, Michael	DOIID	557747	NAIC NPN	3947991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/21/2010		7/31/2026
Active	Non Resident	Agent	Life	10/21/2010		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	06/19/2024	06/19/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Heritage Life Insurance Company	300272	Agent - Health	1/15/2015
Active	American Heritage Life Insurance Company	300272	Agent - Life	1/15/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/28/2002	7/31/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/28/2002	7/31/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/29/2012	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/29/2012	12/8/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/21/2017	6/24/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/21/2017	6/24/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/27/2010	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/27/2010	10/8/2021
Active	Transamerica Life Insurance Company	300571	Agent - Health	8/11/2014
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/11/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/27/2010	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/27/2010	10/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Health	6/8/2012	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Life	6/8/2012	1/7/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	2/1/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	2/1/2020