DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Owen, Michael J	DOIID	584505	NAIC NPN	1469538

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/17/2004		5/31/2025
Active	Non Resident	Agent	Health	2/17/2004		5/31/2025
Active	Non Resident	Agent	Casualty	1/3/2006		5/31/2025
Active	Non Resident	Agent	Property	1/3/2006		5/31/2025
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/31/2010	10/21/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/31/2010	10/21/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/31/2010	10/21/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	5/14/2007
Active	Anthem Life Insurance Company	301209	Agent - Life	5/14/2007
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	1/23/2006	12/19/2011
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	1/23/2006	12/19/2011
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	1/23/2007	12/17/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	1/23/2007	12/17/2019

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	5/18/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/18/2007	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008