DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Prince, Michael Dean	DOIID	720129	NAIC NPN	11138081

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/23/2009	6/28/2013
Inactive	Non Resident	Agent	Casualty	4/22/2011	6/28/2013
Inactive	Non Resident	Agent	Life	12/23/2009	6/28/2013
Inactive	Non Resident	Agent	Property	4/22/2011	6/28/2013
* 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 Life Insurance Company	301209	Agent - Health	10/13/2010	6/28/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/13/2010	6/28/2013
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/26/2011	9/9/2011
Inactive	Esurance Insurance Company	301072	Agent - Property	4/26/2011	9/9/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/24/2010	3/24/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2010	3/17/2011
Inactive	Humana Insurance Company	301104	Agent - Life	10/15/2010	3/17/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/13/2010	3/10/2011
Inactive	Time Insurance Company	300683	Agent - Health	11/2/2012	6/28/2013
Inactive	Time Insurance Company	300683	Agent - Life	11/2/2012	6/28/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/29/2010	2/27/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/29/2010	2/27/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/13/2010	3/10/2011
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/10/2010	2/25/2011

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 - Health	10/13/2010	6/28/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/13/2010	6/28/2013
Inactive	Esurance Ins Services Inc	709770	Agent - Property	4/26/2011	9/9/2011
Inactive	Esurance Ins Services Inc	709770	Agent - Casualty	4/26/2011	9/9/2011