DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Schaefer, Michael Joseph	DOIID	673955	NAIC NPN	1456179

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/12/2008		8/31/2026
Active	Non Resident	Agent	Life	2/12/2008		8/31/2026
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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
Active	Amalgamated Life Insurance Company	701415	Agent - Health	7/19/2012
Active	Amalgamated Life Insurance Company	701415	Agent - Life	7/19/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/31/2010	3/22/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/31/2010	11/29/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/31/2010	11/29/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	3/22/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/31/2010	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Health	3/31/2010	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Life	3/31/2010	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/31/2010	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/31/2010	3/22/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/31/2010	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/31/2010	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/31/2011	3/22/2013
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	11/17/2009
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	11/17/2009
Active	UNUM Life Insurance Company of America	300817	Agent - Health	11/17/2009
Active	UNUM Life Insurance Company of America	300817	Agent - Life	11/17/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	5/24/2010	2/13/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	5/24/2010	2/13/2012
Inactive	Wells Fargo Insurance Services of Tennessee, Inc.	519364	Agent - Life	7/21/2009	9/10/2009
Inactive	Wells Fargo Insurance Services of Tennessee, Inc.	519364	Agent - Health	7/21/2009	3/2/2010