DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Doherty, Michael Dennis	DOIID	835376	NAIC NPN	1340105

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/21/2016	4/30/2019
Inactive	Non Resident	Agent	Health	3/6/2014	4/30/2019
* 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	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/26/2014	11/7/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/10/2017	2/22/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/10/2017	2/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/10/2017	2/8/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	4/10/2017	2/8/2018