DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Michael A	DOIID	625605	NAIC NPN	715093

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/5/2026		3/31/2027
Active	Non Resident	Agent	Health	2/5/2026		3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	2/9/2026
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	2/9/2026
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	2/9/2026
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	2/9/2026
Active	Guardian Life Insurance Company of America	301316	Agent - Health	2/9/2026
Active	Guardian Life Insurance Company of America	301316	Agent - Life	2/9/2026
Inactive	Standard Insurance Company	300185	Agent - Health	3/2/2006	3/31/2017
Inactive	Standard Insurance Company	300185	Agent - Life	3/2/2006	3/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thomas J Wilson & Assocs Agcy Inc	400536	Agent - Health	3/16/2010	3/31/2013
Inactive	Thomas J Wilson & Assocs Agcy Inc	400536	Agent - Life	3/16/2010	3/31/2013