DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Storm, Michelle Marie	DOIID	632453	NAIC NPN	8519608

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/24/2006	7/31/2007
Inactive	Non Resident	Agent	Health	5/24/2006	7/31/2007
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/15/2006	7/11/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/15/2006	7/11/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	2/15/2007	5/7/2007
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	2/15/2007	5/7/2007