DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Paulsen, Michael D	DOIID	851231	NAIC NPN	7553381

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/9/2014		10/31/2026
Active	Non Resident	Agent	Health	9/9/2014		10/31/2026
Active	Non Resident	Agent	Life	9/9/2014		10/31/2026
Active	Non Resident	Agent	Casualty	9/9/2014		10/31/2026
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	11/20/2014	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/20/2014	10/12/2020
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/20/2014	12/13/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/20/2014	12/13/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/20/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/20/2017	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/20/2017	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/20/2017	8/9/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lockton Companies LLC	621496	Agent - Life	11/20/2014	12/13/2024
Denied	Lockton Companies LLC	621496	Agent - Property
Denied	Lockton Companies LLC	621496	Agent - Casualty
Inactive	Lockton Companies LLC	621496	Agent - Health	11/20/2014	12/13/2024