DEPARTMENT OF INSURANCE

Affiliations

Name	Bouley, Michael Maurice	DOIID	964002	NAIC NPN	7148539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/16/2017	12/31/2019
Inactive	Non Resident	Agent	Health	8/16/2017	12/31/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/7/2017	2/24/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/7/2017	2/24/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/7/2017	7/2/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/29/2017	3/17/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/29/2017	3/17/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/15/2017	12/31/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	12/31/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/24/2017	1/12/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/7/2017	2/24/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/24/2017	1/12/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/24/2017	1/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/24/2017	1/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/24/2017	1/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/24/2017	1/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/24/2017	1/12/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/24/2017	1/12/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/24/2017	1/12/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/16/2017	5/23/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/16/2017	5/23/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/16/2017	5/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/29/2017	3/19/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/29/2017	3/19/2018