DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haveles, Michael A	DOIID	501912	NAIC NPN	3230421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/30/2013	9/30/2015
Inactive	Non Resident	Agent	Health	10/5/2000	10/31/2005
Inactive	Non Resident	Agent	Life	9/14/2009	9/30/2015
Inactive	Non Resident	Agent	Casualty	8/30/2013	9/30/2015
* 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	Amica Life Insurance Company	301676	Agent - Life	9/17/2003	5/12/2004
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	9/5/2013	11/4/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	9/5/2013	11/4/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/5/2013	11/4/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/5/2013	11/4/2013
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/5/2000	2/1/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/5/2000	2/1/2005
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	1/29/2010	4/5/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amica General Agency, LLC	509383	Agent - Life	6/22/2000	6/23/2003
Inactive	Amica General Agency, LLC	509383	Agent - Health	3/23/2001	6/23/2003