DEPARTMENT OF INSURANCE

Affiliations

Name	King, Michael R	DOIID	694626	NAIC NPN	3334710

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/1/2008	8/31/2015
Inactive	Non Resident	Agent	Health	12/1/2008	8/31/2015
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/28/2009	8/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/28/2009	8/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/28/2009	8/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/20/2011	8/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/20/2011	8/31/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/4/2011	8/31/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/4/2011	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/4/2011	6/26/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/20/2009	6/11/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/30/2008	8/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2012	8/31/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/30/2008	8/31/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	8/31/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/30/2013	8/31/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/4/2011	8/31/2015
Inactive	Humana Insurance Company	301104	Agent - Health	1/4/2011	8/31/2015
Inactive	Humana Insurance Company	301104	Agent - Life	1/4/2011	8/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/4/2011	8/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/4/2011	8/31/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	8/31/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/4/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/4/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/4/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/4/2011	10/22/2015
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	2/25/2010	8/31/2015
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	2/25/2010	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/20/2011	8/31/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/20/2011	8/31/2015