DEPARTMENT OF INSURANCE

Affiliations

Name	Holtz, Michael L	DOIID	735036	NAIC NPN	1892440

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/20/2010	8/31/2020
Inactive	Non Resident	Agent	Life	8/20/2010	8/31/2020
Inactive	Non Resident	Agent	Casualty	4/21/2011	8/31/2020
Inactive	Non Resident	Agent	Property	4/21/2011	8/31/2020
* 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	AAA Life Insurance Company	300287	Agent - Health	5/16/2018	6/20/2018
Inactive	AAA Life Insurance Company	300287	Agent - Life	5/16/2018	6/20/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/10/2011	5/31/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/10/2011	5/31/2012
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/30/2020	8/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/24/2012	11/2/2016
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	5/8/2018	6/18/2018
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	5/8/2018	6/18/2018
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	5/8/2018	6/18/2018
Inactive	CSAA General Insurance Company	606675	Agent - Property	5/8/2018	6/18/2018
Inactive	Combined Insurance Company of America	301472	Agent - Health	8/30/2010	11/11/2010
Inactive	Combined Insurance Company of America	301472	Agent - Life	8/30/2010	11/11/2010
Inactive	Everly Life Insurance Company	561641	Agent - Life	10/4/2016	12/28/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	4/21/2020	8/31/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/21/2020	8/31/2020
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	10/30/2014	4/8/2015
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	10/30/2014	4/8/2015
Inactive	Nationwide General Insurance Company	300603	Agent - Property	10/30/2014	4/8/2015
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	10/30/2014	4/8/2015
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	10/30/2014	4/8/2015
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/30/2014	4/8/2015
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/30/2014	4/8/2015
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	10/30/2014	4/8/2015
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/30/2014	4/8/2015
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	10/30/2014	4/8/2015
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	10/30/2014	4/8/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/30/2014	4/8/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	10/30/2014	4/8/2015
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	10/30/2014	4/8/2015
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	10/30/2014	4/8/2015
Inactive	Physicians Life Insurance Company	300924	Agent - Life	1/11/2016	8/15/2016
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	1/11/2016	8/15/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/1/2014	9/16/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2014	9/16/2015
Inactive	United American Insurance Company	300910	Agent - Health	2/26/2020	8/31/2020
Inactive	United American Insurance Company	300910	Agent - Life	2/26/2020	8/31/2020
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	10/30/2014	4/8/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	10/30/2014	4/8/2015
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	6/19/2014	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	6/19/2014	10/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Life	5/16/2018	6/14/2018
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Health	5/16/2018	6/14/2018
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Property	5/10/2018	6/14/2018
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Casualty	5/10/2018	6/14/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/24/2012	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/19/2014	9/16/2015
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	7/2/2014	10/2/2014
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	7/2/2014	10/2/2014