DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Prichard, Michelle Lee	DOIID	591399	NAIC NPN	8151545

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/27/2004	7/26/2006
Inactive	Resident	Agent	Life	7/27/2004	7/26/2006
* 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	Assurity Life Insurance Company	301099	Agent - Health	11/10/2004	5/13/2005
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/10/2004	5/13/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	9/29/2004	3/31/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/29/2004	3/31/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Health	7/27/2004	3/25/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Life	7/27/2004	3/25/2005
Inactive	Time Insurance Company	300683	Agent - Health	10/8/2004	4/4/2005
Inactive	Time Insurance Company	300683	Agent - Life	10/8/2004	4/4/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	10/15/2004	5/13/2005
Inactive	Medlink Inc	400721	Agent - Life	10/15/2004	5/13/2005