DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, J Michael	DOIID	751412	NAIC NPN	16167774

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/28/2014	8/5/2015
Inactive	Non Resident	Agent	Life	8/28/2014	8/5/2015
* 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	Anthem Life Insurance Company	301209	Agent - Health	9/15/2014	6/18/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/15/2014	6/18/2015
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	11/15/2011	12/7/2011
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	11/15/2011	12/7/2011
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	11/15/2011	12/7/2011
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	11/15/2011	12/7/2011
Inactive	Columbian Life Insurance Company	300810	Agent - Life	5/13/2011	6/30/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/23/2015	9/24/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/23/2015	9/24/2015
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	3/13/2012	6/30/2012
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	3/13/2012	6/30/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/1/2012	6/30/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/1/2012	6/30/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/23/2015	9/24/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/23/2015	9/24/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/23/2015	9/24/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/23/2015	9/24/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/23/2015	9/24/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/23/2015	9/24/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/23/2015	9/24/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/23/2015	9/24/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/30/2012	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/30/2012	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/23/2015	9/24/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/23/2015	9/24/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/15/2011	9/23/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/15/2011	9/23/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/5/2011	9/23/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/5/2011	9/23/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/15/2014	8/5/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/15/2014	8/5/2015
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	3/28/2012	6/30/2012
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	3/28/2012	6/30/2012