DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Boksenbaum, Michael David	DOIID	600352	NAIC NPN	7625431

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/27/2004	10/31/2006
Inactive	Non Resident	Agent	Health	12/27/2004	10/31/2006
* 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	Golden Rule Insurance Company	301943	Agent - Health	1/5/2006	11/6/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/5/2006	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	Insurance Answer Center LLC	401337	Agent - Life	6/9/2006	10/31/2006
Inactive	Insurance Answer Center LLC	401337	Agent - Health	6/9/2006	10/31/2006