DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	MP Companies	DOIID	755454	NAIC NPN	16247376

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/2/2011	3/31/2013
Inactive	Resident	Agent	Life	6/2/2011	3/31/2013
Inactive	Resident	Agent	Casualty	7/1/2011	3/31/2013
Inactive	Resident	Agent	Property	7/1/2011	3/31/2013
* 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	American Heritage Life Insurance Company	300272	Agent - Health	6/7/2011	3/31/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/7/2011	3/31/2013
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	6/16/2011	4/26/2013
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	6/16/2011	4/26/2013
Inactive	Union Security Insurance Company	301844	Agent - Health	7/1/2011	3/31/2013
Inactive	Union Security Insurance Company	301844	Agent - Life	7/1/2011	3/31/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Collins, Melissa Sue	341449	Agent - Casualty	8/14/2011	9/8/2011
Inactive	Collins, Melissa Sue	341449	Agent - Health	6/2/2011	3/31/2013
Inactive	Collins, Melissa Sue	341449	Agent - Life	4/2/2012	3/31/2013
Inactive	Collins, Melissa Sue	341449	Agent - Property	8/14/2011	9/8/2011
Inactive	Hagan, Sara Abbegail	733597	Agent - Health	6/27/2011	3/31/2013
Inactive	Hagan, Sara Abbegail	733597	Agent - Life	6/27/2011	3/31/2013
Inactive	Powell, Lonny Christopher	666244	Agent - Casualty	7/1/2011	3/31/2013
Inactive	Powell, Lonny Christopher	666244	Agent - Health	7/1/2011	3/31/2013
Inactive	Powell, Lonny Christopher	666244	Agent - Life	7/1/2011	3/31/2013
Inactive	Powell, Lonny Christopher	666244	Agent - Property	7/1/2011	3/31/2013