DEPARTMENT OF INSURANCE

Affiliations

Name	Perry, Michael B	DOIID	830821	NAIC NPN	5066183

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/7/2014	9/30/2018
Inactive	Non Resident	Agent	Life	1/7/2014	9/30/2018
* 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	2/25/2016	9/30/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/27/2015	1/22/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/25/2016	9/30/2018
Inactive	American Continental Insurance Company	643130	Agent - Health	10/20/2014	6/6/2016
Inactive	American General Life Insurance Company	301585	Agent - Health	1/16/2014	9/30/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	1/16/2014	9/30/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/17/2014	7/16/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/19/2014	7/16/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/25/2016	9/30/2018
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/17/2014	12/14/2016
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	1/16/2014	6/19/2015
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	1/16/2014	6/19/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/4/2017	10/2/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/4/2017	10/2/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/27/2015	3/13/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/27/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/27/2015	3/13/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/27/2015	3/13/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/27/2015	3/13/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/27/2015	3/13/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/27/2015	3/13/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/27/2015	3/13/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	3/13/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/27/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/27/2015	10/22/2015
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	6/5/2017	9/30/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	9/18/2014	11/23/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/21/2014	12/1/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/21/2014	12/1/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/18/2018	10/28/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/18/2018	10/28/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/8/2014	3/5/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/8/2014	3/5/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tiburon Insurance Services	654167	Agent - Life	7/29/2016	9/30/2018
Inactive	Tiburon Insurance Services	654167	Agent - Health	7/29/2016	9/30/2018