DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Michael D.	DOIID	682941	NAIC NPN	10963856

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/25/2008	7/1/2013
Inactive	Resident	Agent	Life	6/20/2008	7/1/2013
* 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 Continental Insurance Company	643130	Agent - Health	12/2/2010	7/1/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	12/2/2010	7/1/2013
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	6/25/2008	9/29/2008
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	6/20/2008	9/29/2008
Inactive	Combined Insurance Company of America	301472	Agent - Health	12/1/2008	3/3/2010
Inactive	Combined Insurance Company of America	301472	Agent - Life	12/1/2008	3/3/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/2/2010	7/1/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/2/2010	7/1/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/20/2010	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/20/2010	12/17/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/15/2010	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/15/2010	7/10/2013
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	2/7/2011	10/15/2011
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	2/7/2011	10/15/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/30/2010	12/17/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	1/24/2011	11/5/2011
Inactive	Sterling Life Insurance Company	301947	Agent - Health	11/14/2008	2/9/2010
Inactive	Sterling Life Insurance Company	301947	Agent - Life	11/14/2008	2/9/2010
Inactive	United American Insurance Company	300910	Agent - Health	11/26/2008	12/13/2010
Inactive	United American Insurance Company	300910	Agent - Life	11/26/2008	12/13/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/30/2010	12/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/30/2010	12/17/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/24/2011	5/14/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/24/2011	5/14/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental Health Alliance LLC	667000	Agent - Life	12/6/2010	7/1/2013
Inactive	Continental Health Alliance LLC	667000	Agent - Health	12/6/2010	7/1/2013