DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Michael S	DOIID	732823	NAIC NPN	15849132

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	1/21/2011	1/1/2015
Inactive	Resident	Agent	Property	1/3/2011	1/1/2015
Inactive	Resident	Agent	Life	8/20/2010	1/1/2015
Inactive	Resident	Agent	Health	9/15/2010	1/1/2015
* 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	Bankers Life and Casualty Company	300701	Agent - Health	9/15/2010	10/8/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	8/20/2010	10/8/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	9/15/2010	10/8/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	8/20/2010	10/8/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/21/2010	10/11/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/21/2010	10/11/2010
Inactive	Humana Insurance Company	301104	Agent - Health	9/27/2010	12/4/2010
Inactive	Humana Insurance Company	301104	Agent - Life	9/27/2010	12/4/2010
Inactive	Midland National Life Insurance Company	300923	Agent - Health	12/27/2010	1/1/2015
Inactive	Midland National Life Insurance Company	300923	Agent - Life	12/27/2010	1/1/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	2/28/2011	10/28/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	2/28/2011	10/28/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alliance Assurance Agency Ltd.	401003	Agent - Life	12/27/2010	1/1/2015
Inactive	Alliance Assurance Agency Ltd.	401003	Agent - Health	12/27/2010	1/1/2015
Inactive	Alliance Assurance Agency Ltd.	401003	Agent - Property	2/28/2011	10/28/2013
Inactive	Alliance Assurance Agency Ltd.	401003	Agent - Casualty	2/28/2011	10/28/2013