DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bazan, Michelle Ivonne	DOIID	703553	NAIC NPN	13249972

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/10/2009	9/28/2010
Inactive	Non Resident	Agent	Health	4/10/2009	9/28/2010
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	9/11/2010	9/28/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/11/2010	9/28/2010
Inactive	Humana Insurance Company	301104	Agent - Health	9/11/2010	9/28/2010
Inactive	Humana Insurance Company	301104	Agent - Life	9/11/2010	9/28/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/11/2010	9/28/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/11/2010	9/28/2010
Inactive	USAA Direct Life Insurance Company	301773	Agent - Health	5/15/2010	9/28/2010
Inactive	USAA Direct Life Insurance Company	301773	Agent - Life	5/15/2010	9/28/2010
Inactive	USAA Life Insurance Company	300734	Agent - Health	4/17/2009	9/28/2010
Inactive	USAA Life Insurance Company	300734	Agent - Life	4/17/2009	9/28/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	4/21/2009	9/28/2010
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	4/21/2009	9/28/2010