DEPARTMENT OF INSURANCE

Affiliations

Name	Lawall, Michael B	DOIID	553147	NAIC NPN	3241961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/14/2014	9/30/2025
Active	Non Resident	Agent	Life	7/14/2014	9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/28/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/28/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	11/28/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/30/2002	6/17/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/30/2002	6/17/2005
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/14/2014	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/14/2014	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/8/2014	5/4/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/31/2020	12/13/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	11/28/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/8/2014	5/4/2015
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/3/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/6/2012	9/30/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Health	7/8/2002	12/13/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Life	7/8/2002	12/13/2002
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/21/2021	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/16/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/16/2015	6/15/2018
Active	Humana Insurance Company	301104	Agent - Health	10/20/2021
Inactive	Humana Insurance Company	301104	Agent - Life	7/16/2015	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/16/2015	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/16/2015	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/16/2015	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/29/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/8/2014	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/8/2014	5/4/2015
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Time Insurance Company	300683	Agent - Health	8/12/2004	9/30/2005
Inactive	Time Insurance Company	300683	Agent - Life	8/12/2004	9/30/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Consolidated Healthcare Solutions LLC	714019	Agent - Health	7/12/2011	9/30/2013
Inactive	Consolidated Healthcare Solutions LLC	714019	Agent - Life	7/12/2011	9/30/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	11/14/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	11/14/2014