DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Scrudato, Michael	DOIID	729263	NAIC NPN	15784813

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/27/2010	12/31/2011
Inactive	Non Resident	Agent	Health	5/27/2010	12/31/2011
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/20/2010	12/31/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/20/2010	12/31/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/20/2010	12/31/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/28/2010	12/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	6/28/2010	12/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	6/28/2010	12/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/28/2010	12/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/28/2010	12/31/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/6/2010	12/31/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/6/2010	12/31/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/6/2010	12/31/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/6/2010	12/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/9/2010	12/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/9/2010	12/31/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/9/2010	12/31/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/9/2010	12/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/20/2010	12/31/2011
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	6/21/2010	7/12/2011
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	6/21/2010	7/12/2011