DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mickelson, David F	DOIID	510470	NAIC NPN	1629038

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/21/2000	10/31/2013
Inactive	Non Resident	Agent	Life	6/21/2000	10/31/2013
* 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 - Health	6/21/2000	6/16/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	6/21/2000	6/16/2009
Inactive	Columbus Life Insurance Company	301227	Agent - Health	7/7/2006	3/16/2010
Inactive	Columbus Life Insurance Company	301227	Agent - Life	7/7/2006	3/16/2010
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Health	9/25/2000	1/1/2004
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	9/25/2000	1/1/2004
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	11/8/2005	11/14/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	11/8/2005	11/14/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Life	6/7/2004	10/31/2013
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/9/2000	9/29/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/14/2004	11/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/14/2004	11/15/2011
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	8/14/2000	1/12/2010
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	8/14/2000	1/12/2010
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	8/14/2000	12/1/2006
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	8/14/2000	12/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Securities America Inc.	400225	Agent - Life	1/8/2001	7/17/2001
Inactive	Securities America Inc.	400225	Agent - Health	1/8/2001	7/17/2001