DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Polaco, Michael S	DOIID	781941	NAIC NPN	7503916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/16/2012	11/12/2013
Inactive	Non Resident	Agent	Health	5/16/2012	11/12/2013
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/14/2012	11/12/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/14/2012	11/12/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/14/2012	11/12/2013
Inactive	Humana Insurance Company	301104	Agent - Health	5/29/2012	7/13/2012
Inactive	Humana Insurance Company	301104	Agent - Life	5/29/2012	7/13/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	6/8/2012	7/30/2012
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	6/8/2012	7/30/2012