DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	AGIS Michigan Agency LLC	DOIID	690652	NAIC NPN	9055235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/29/2010	3/31/2014
Inactive	Non Resident	Agent	Life	7/29/2010	3/31/2014
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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/1/2012	3/31/2014
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/1/2012	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/1/2012	3/31/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/1/2012	3/31/2014
Inactive	Humana Insurance Company	301104	Agent - Health	11/28/2011	7/24/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/28/2011	7/24/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/28/2011	7/24/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/28/2011	7/24/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/27/2009	3/31/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/27/2009	3/31/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nixon, Michael G	689693	Agent - Health	7/29/2010	3/31/2014
Inactive	Nixon, Michael G	689693	Agent - Life	7/29/2010	3/31/2014