DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mammele, Michael	DOIID	727069	NAIC NPN	2340847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/23/2010	9/30/2016
Inactive	Non Resident	Agent	Health	4/23/2010	9/30/2016
Inactive	Non Resident	Agent	Personal Lines	4/23/2010	9/30/2016
Inactive	Non Resident	Agent	Casualty	4/23/2010	9/30/2016
Inactive	Non Resident	Agent	Life	4/23/2010	9/30/2016
* 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	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/11/2015	9/30/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/11/2015	9/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/3/2014	9/30/2016
Inactive	Humana Insurance Company	301104	Agent - Health	2/3/2014	9/30/2016
Inactive	Humana Insurance Company	301104	Agent - Life	2/3/2014	9/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/11/2015	9/30/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/11/2015	9/30/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/3/2014	9/30/2016
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/3/2014	9/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aflac Benefits Advisors Inc	773014	Agent - Health	11/6/2012	9/30/2016
Inactive	Aflac Benefits Advisors Inc	773014	Agent - Life	11/6/2012	9/30/2016
Inactive	Aflac Benefits Advisors Inc	773014	Agent - Property	11/6/2012	9/30/2016
Inactive	Aflac Benefits Advisors Inc	773014	Agent - Casualty	11/6/2012	9/30/2016