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	Life	10/4/2021	7/31/2026
Active	Non Resident	Agent	Casualty	3/26/2024	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.

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	07/03/2024	07/03/2024	Yes

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
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/27/2022
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/27/2022
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	Tier One Insurance Company	301056	Agent - Health	5/8/2023
Active	Tier One Insurance Company	301056	Agent - Life	5/8/2023
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