DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Myriad Ins LLC	DOIID	885929	NAIC NPN	17441495

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Personal Lines
Inactive	Non Resident	Agent	Property	8/6/2015	3/31/2017
Inactive	Non Resident	Agent	Health	8/6/2015	3/31/2017
Inactive	Non Resident	Agent	Life	8/6/2015	3/31/2017
Inactive	Non Resident	Agent	Casualty	8/6/2015	3/31/2017
* 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	ALPHA Dental Programs, Inc.	635438	Agent - Health	9/15/2015	3/31/2017
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/30/2015	3/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/30/2015	3/31/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/30/2015	3/31/2017
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	9/14/2015	10/29/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/21/2015	3/31/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/21/2015	3/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/21/2015	3/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/21/2015	3/31/2017
Inactive	Washington National Insurance Company	300587	Agent - Health	9/11/2015	11/14/2016
Inactive	Washington National Insurance Company	300587	Agent - Life	9/11/2015	3/21/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Skinner, Michele Leigh	849473	Agent - Casualty	8/6/2015	3/31/2017
Inactive	Skinner, Michele Leigh	849473	Agent - Health	8/6/2015	3/31/2017
Inactive	Skinner, Michele Leigh	849473	Agent - Life	8/6/2015	3/31/2017
Inactive	Skinner, Michele Leigh	849473	Agent - Property	8/6/2015	3/31/2017