DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Russell, Michael Lee	DOIID	374634	NAIC NPN	1832566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/13/2005	5/1/2010
Inactive	Resident	Agent	Life	5/13/2005	5/1/2010
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	8/11/2000	7/1/2002
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/21/2000	7/1/2002
Inactive	Columbian Life Insurance Company	300810	Agent - Health	12/8/1999	7/1/2002
Inactive	Columbian Life Insurance Company	300810	Agent - Life	12/8/1999	7/1/2002
Inactive	Encova Life Insurance Company	301818	Agent - Health	8/11/1995	5/1/1997
Inactive	Encova Life Insurance Company	301818	Agent - Life	8/11/1995	5/1/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/16/2000	7/1/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	3/31/2000	7/1/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	3/31/2000	7/1/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/10/2000	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Health	4/7/2000	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Life	4/7/2000	7/1/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	8/11/2000	7/1/2002
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	9/5/2000	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997