DEPARTMENT OF INSURANCE

Affiliations

Name	Couch, Michael Andrew	DOIID	717974	NAIC NPN	15159234

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/19/2012	9/1/2017
Inactive	Resident	Agent	Health	10/19/2012	9/1/2017
* 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	Banner Life Insurance Company	301696	Agent - Life	11/21/2011	12/2/2011
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/24/2013	5/4/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/24/2013	5/4/2017
Inactive	Combined Insurance Company of America	301472	Agent - Health	10/19/2012	3/8/2013
Inactive	Combined Insurance Company of America	301472	Agent - Life	10/19/2012	3/8/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/30/2013	5/20/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/26/2010	12/2/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/26/2010	12/2/2011
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/19/2014	9/1/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/30/2013	5/20/2014
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	10/9/2013	5/15/2017
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	10/9/2013	5/15/2017
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/31/2011	12/2/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/31/2011	12/2/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/1/2013	6/4/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/1/2013	6/4/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/25/2013	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/25/2013	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/2013	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Life	9/25/2013	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/25/2013	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/25/2013	5/20/2014
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/8/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/30/2013	5/20/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/30/2013	5/20/2014
Inactive	Knights of Columbus	301162	Agent - Health	1/1/2011	6/6/2011
Inactive	Knights of Columbus	301162	Agent - Life	1/1/2011	6/6/2011
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	11/12/2009	6/23/2010
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	11/12/2009	6/23/2010
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health	11/12/2009	6/23/2010
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	11/12/2009	6/23/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/5/2010	12/15/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	4/9/2010	12/2/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/15/2013	9/16/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/15/2013	9/16/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/5/2010	12/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/5/2010	12/15/2011
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017
Inactive	West Coast Life Insurance Company	301607	Agent - Health	7/30/2010	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	7/30/2010	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Ins Group LLC	661217	Agent - Health	6/4/2010	12/2/2011
Inactive	Affinity Ins Group LLC	661217	Agent - Life	6/4/2010	12/2/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	9/1/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	6/4/2017
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	10/8/2013	9/1/2017
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	10/8/2013	6/4/2017