DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Muth, Michael	DOIID	894992	NAIC NPN	17739631

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/13/2016	6/7/2018
Inactive	Non Resident	Agent	Property	10/13/2016	6/7/2018
Inactive	Non Resident	Agent	Life	10/10/2015	6/7/2018
Inactive	Non Resident	Agent	Health	10/10/2015	6/7/2018
* 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	Continental American Insurance Company	301700	Agent - Health	10/10/2015	6/7/2018
Inactive	Continental American Insurance Company	301700	Agent - Life	10/10/2015	6/7/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/28/2016	6/7/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	10/28/2016	6/7/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/12/2015	6/7/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/12/2015	6/7/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/12/2015	6/7/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/12/2015	6/7/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	12/5/2016	6/7/2018
Inactive	DVM Insurance Agency	636779	Agent - Casualty	12/5/2016	6/7/2018