DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Spaeth, Michael	DOIID	811215	NAIC NPN	16865329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/29/2013	8/31/2015
Inactive	Non Resident	Agent	Life	5/29/2013	8/31/2015
* 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	Genworth Life Insurance Company	300623	Agent - Health	5/6/2015	8/31/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/6/2015	8/31/2015
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/6/2015	8/31/2015
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	6/4/2013	2/19/2014
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	6/4/2013	2/19/2014
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	6/4/2013	2/19/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	7/21/2015	8/31/2015
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	7/21/2015	8/31/2015