DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conroy, Michael G	DOIID	641601	NAIC NPN	3304233

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/2/2006	9/30/2009
Inactive	Non Resident	Agent	Health	10/5/2006	9/30/2009
Inactive	Non Resident	Agent	Life	10/5/2006	9/30/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brokerage Concepts, LLC	641608	Administrator - Not Applicable	11/2/2006	9/30/2009
Denied	Mercer Health & Benefits LLC	607080	Agent - Health
Denied	Mercer Health & Benefits LLC	607080	Agent - Life