DEPARTMENT OF INSURANCE
Affiliations
NameKapustin, Michael DOIID651893NAIC NPN2036309
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth3/21/20073/31/2025 
InactiveNon ResidentAgentLife3/21/20073/31/2025 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Heritage Life Insurance Company300272Agent - Health9/17/200810/1/2010
InactiveAmerican Heritage Life Insurance Company300272Agent - Life9/17/200810/1/2010
InactiveAmerican United Life Insurance Company300498Agent - Health8/31/20083/31/2025
InactiveAmerican United Life Insurance Company300498Agent - Life8/31/20083/31/2025
InactiveBoston Mutual Life Insurance Company300143Agent - Health7/25/20073/31/2025
InactiveBoston Mutual Life Insurance Company300143Agent - Life7/25/20073/31/2025
InactiveDearborn Life Insurance Company300401Agent - Health9/9/20087/8/2021
InactiveDearborn Life Insurance Company300401Agent - Life9/9/20087/8/2021
InactiveProfessional Insurance Company301281Agent - Health8/14/20073/31/2025
InactiveProfessional Insurance Company301281Agent - Life8/14/20073/31/2025
InactiveTransamerica Life Insurance Company300571Agent - Health6/28/20107/13/2015
InactiveTransamerica Life Insurance Company300571Agent - Life6/28/20107/13/2015
InactiveTrustmark Insurance Company300317Agent - Health8/17/20083/31/2025
InactiveTrustmark Insurance Company300317Agent - Life8/17/20083/31/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlpha Benefits Group Inc663018Agent - Health10/1/20073/31/2015
InactiveAlpha Benefits Group Inc663018Agent - Life10/1/20073/31/2015

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