DEPARTMENT OF INSURANCE

Name	Bentley, Michael Keith	DOIID	501739	NAIC NPN	2772723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/21/1999		1/31/2025
Active	Non Resident	Agent	Life	12/21/1999		1/31/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	12/21/1999	3/1/2001

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	55 Public Square # 1650Cleveland, OH 44113
Residence	Not Public Information

Internet Information

Type	Address
Business Email	mbentley@brooks-stafford.com

Phone Information

Type	Phone
Business / Home Office	(216) 696-3000