DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Scott, Michael Anthony	DOIID	1044308	NAIC NPN	2097201

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/18/2019	2/28/2022
Inactive	Non Resident	Agent	Life	6/18/2019	2/28/2022
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/17/2019	7/24/2020
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	10/9/2019	9/27/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/14/2019	2/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/9/2019	4/21/2022