DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Siegel, Michael Joseph	DOIID	304009	NAIC NPN	995063

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	4/7/2005	4/30/2008
* 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 General Life Insurance Company	301585	Agent - Life	4/20/2005	4/30/2008
Inactive	American United Life Insurance Company	300498	Agent - Health	5/30/1991	7/1/1996
Inactive	American United Life Insurance Company	300498	Agent - Life	5/30/1991	7/1/1996
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	9/28/2005	1/6/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/18/2005	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/21/2005	4/30/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	4/30/2008
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	2/27/1996	7/1/1996
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	2/27/1996	7/1/1996
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	12/9/1994	7/1/1996
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/9/1994	7/1/1996
Inactive	Union Central Life Insurance Company	300307	Agent - Life	5/16/2005	2/22/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Financial Group Inc.	400432	Agent - Life	9/6/1994	7/1/1996
Inactive	Kentucky Financial Group Inc.	400432	Agent - Health	9/6/1994	7/1/1996