DEPARTMENT OF INSURANCE

Affiliations

Name	Wall, Michael A	DOIID	579438	NAIC NPN	6054266

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/4/2021	7/31/2026
Active	Non Resident	Agent	Casualty	3/26/2024	7/31/2026
Active	Non Resident	Agent	Life	10/4/2021	7/31/2026
Active	Non Resident	Agent	Property	3/26/2024	7/31/2026
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/15/2004	6/20/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/15/2004	6/20/2006
Active	American General Life Insurance Company	301585	Agent - Health	7/29/2023
Active	American General Life Insurance Company	301585	Agent - Life	7/29/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	5/24/2022	1/11/2024
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/24/2022	1/11/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/16/2004	7/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/16/2004	7/31/2012
Active	CareSource Kentucky Co.	838179	Agent - Health	4/1/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/27/2022	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/27/2022	1/6/2025
Active	Companion Life Insurance Company	300191	Agent - Health	5/18/2023
Active	Companion Life Insurance Company	300191	Agent - Life	5/18/2023
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/10/2011	7/31/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/10/2011	7/31/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/1/2009	7/31/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/1/2009	7/31/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/10/2004	1/9/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/10/2004	1/9/2007
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/15/2008	7/31/2012
Active	National Health Insurance Company	300554	Agent - Health	6/10/2024
Active	National Health Insurance Company	300554	Agent - Life	6/10/2024
Active	North River Insurance Company (The)	301739	Agent - Health	10/14/2024
Active	Tier One Insurance Company	301056	Agent - Health	5/8/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	5/8/2023	11/1/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	1/15/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/15/2008	7/31/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/15/2008	7/31/2012
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	7/12/2004	7/31/2012
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	7/12/2004	7/31/2012
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/23/2004	11/6/2006

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	3/9/2004	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/9/2004	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	7/31/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	7/31/2012
Inactive	Ray Wall & Associates, Inc.	571897	Agent - Health	2/26/2004	7/31/2012
Inactive	Ray Wall & Associates, Inc.	571897	Agent - Life	2/26/2004	7/31/2012