DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haney, Mitchell K	DOIID	724692	NAIC NPN	229845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/16/2010	9/30/2012
Inactive	Non Resident	Agent	Life	3/16/2010	9/30/2012
* 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	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/5/2010	10/30/2012
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	11/5/2010	10/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodbury Fin Svcs Inc	400560	Agent - Life	11/5/2010	9/30/2012