DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Michael Andrew	DOIID	625605	NAIC NPN	715093

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/8/2006	3/31/2017
Inactive	Non Resident	Agent	Life	2/8/2006	3/31/2017
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	2/24/2006	4/10/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	2/24/2006	4/10/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/24/2006	4/10/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/24/2006	4/10/2013
Inactive	Standard Insurance Company	300185	Agent - Health	3/2/2006	3/31/2017
Inactive	Standard Insurance Company	300185	Agent - Life	3/2/2006	3/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thomas J Wilson & Assocs Agcy Inc	400536	Agent - Health	3/16/2010	3/31/2013
Inactive	Thomas J Wilson & Assocs Agcy Inc	400536	Agent - Life	3/16/2010	3/31/2013