DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Weiner, Michael J	DOIID	601981	NAIC NPN	2130384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/31/2013	5/31/2015
Inactive	Non Resident	Agent	Health	1/31/2013	5/31/2015
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/27/2006	5/31/2009
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/27/2006	5/31/2009
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/19/2005	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	9/15/2006	5/31/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	9/15/2006	5/31/2009
Inactive	Liberty Life Insurance Company	301542	Agent - Health	10/10/2005	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	10/10/2005	6/30/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/26/2005	5/31/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/26/2005	5/31/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/10/2007	5/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	L T C I Partners L L C	540090	Agent - Health
Denied	L T C I Partners L L C	540090	Agent - Life