DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Intercare Ins Solutions Inc	DOIID	699231	NAIC NPN	7501007

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/6/2009	3/17/2016
Inactive	Non Resident	Agent	Property	7/28/2010	3/17/2016
Inactive	Non Resident	Agent	Casualty	7/28/2010	3/17/2016
Inactive	Non Resident	Agent	Health	3/6/2009	3/17/2016
* 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	Allied World Insurance Company	301336	Agent - Casualty	8/15/2013	3/17/2016
Inactive	Allied World Insurance Company	301336	Agent - Property	8/15/2013	3/17/2016
Inactive	Allied World National Assurance Company	611268	Agent - Casualty	8/15/2013	3/17/2016
Inactive	Allied World National Assurance Company	611268	Agent - Property	8/15/2013	3/17/2016
Inactive	Allied World Specialty Insurance Company	301088	Agent - Casualty	8/15/2013	3/17/2016
Inactive	Allied World Specialty Insurance Company	301088	Agent - Property	8/15/2013	3/17/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/31/2014	3/17/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/31/2014	3/17/2016
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/5/2014	2/1/2016
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/5/2014	2/1/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/8/2010	3/17/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/8/2010	3/17/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/8/2010	3/17/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/8/2010	3/17/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Barone, Michael Joseph	698584	Agent - Casualty	7/28/2010	3/17/2016
Inactive	Barone, Michael Joseph	698584	Agent - Health	3/6/2009	3/17/2016
Inactive	Barone, Michael Joseph	698584	Agent - Life	3/6/2009	3/17/2016
Inactive	Barone, Michael Joseph	698584	Agent - Property	7/28/2010	3/17/2016