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DEPARTMENT OF INSURANCE
Affiliations
Name
Kapustin, Michael
DOIID
651893
NAIC NPN
2036309
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
3/21/2007
3/31/2025
Inactive
Non Resident
Agent
Life
3/21/2007
3/31/2025
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
9/17/2008
10/1/2010
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
9/17/2008
10/1/2010
Inactive
American United Life Insurance Company
300498
Agent - Health
8/31/2008
3/31/2025
Inactive
American United Life Insurance Company
300498
Agent - Life
8/31/2008
3/31/2025
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
7/25/2007
3/31/2025
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Life
7/25/2007
3/31/2025
Inactive
Dearborn Life Insurance Company
300401
Agent - Health
9/9/2008
7/8/2021
Inactive
Dearborn Life Insurance Company
300401
Agent - Life
9/9/2008
7/8/2021
Inactive
Professional Insurance Company
301281
Agent - Health
8/14/2007
3/31/2025
Inactive
Professional Insurance Company
301281
Agent - Life
8/14/2007
3/31/2025
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
6/28/2010
7/13/2015
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
6/28/2010
7/13/2015
Inactive
Trustmark Insurance Company
300317
Agent - Health
8/17/2008
3/31/2025
Inactive
Trustmark Insurance Company
300317
Agent - Life
8/17/2008
3/31/2025
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Alpha Benefits Group Inc
663018
Agent - Health
10/1/2007
3/31/2015
Inactive
Alpha Benefits Group Inc
663018
Agent - Life
10/1/2007
3/31/2015
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