DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jarvis, Michael	DOIID	951645	NAIC NPN	17929873

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/27/2019	5/25/2022
Inactive	Non Resident	Agent	Life	10/27/2019	5/25/2022
* 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	Northwestern Long Term Care Insurance Company	300135	Agent - Health	4/24/2017	6/9/2018
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	4/24/2017	6/9/2018
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	4/24/2017	6/9/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Edgewood Partners Insurance Center	549891	Agent - Health
Denied	Edgewood Partners Insurance Center	549891	Agent - Life