DEPARTMENT OF INSURANCE
Affiliations
NameHalbrook, Michael DaleDOIID664559NAIC NPN8761936
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth8/11/201010/31/2016 
InactiveNon ResidentAgentLife8/11/201010/31/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health10/6/201010/31/2016
InactiveAnthem Life Insurance Company301209Agent - Life10/6/201010/31/2016
InactiveAthene Annuity and Life Company301893Agent - Life5/31/20121/8/2014
InactiveCompBenefits Dental, Inc.591692Agent - Health11/10/201012/8/2015
InactiveDental Concern Inc. (The)301641Agent - Health11/10/201012/8/2015
InactiveEssence Healthcare, Inc.657425Agent - Health12/18/200710/31/2008
InactiveFirst Health Life & Health Insurance Company301735Agent - Health10/11/201010/31/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/201410/31/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/201210/31/2016
InactiveHumana Health Plan, Inc.300142Agent - Health11/10/201010/31/2016
InactiveHumana Insurance Company301104Agent - Health11/10/201010/31/2016
InactiveHumana Insurance Company301104Agent - Life11/10/201010/31/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/10/201010/31/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/10/201010/31/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/201410/31/2016
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201610/31/2016
InactiveKanawha Insurance Company300127Agent - Health11/10/201010/22/2015
InactiveKanawha Insurance Company300127Agent - Life11/10/201010/22/2015
InactiveSecurity Benefit Life Insurance Company300583Agent - Life10/12/201110/17/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life11/10/201010/31/2016
InactiveDesignated Agent Company Inc.681257Agent - Health10/6/201010/31/2016
InactiveFundamental Insurance and Retirement Planning675147Agent - Life1/27/201210/31/2016
InactiveFundamental Insurance and Retirement Planning675147Agent - Health1/27/201210/31/2016
InactiveNorth American Life Plans LLC645076Agent - Life10/7/201010/31/2016
InactiveNorth American Life Plans LLC645076Agent - Health10/7/201010/31/2016

© Commonwealth of Kentucky. All rights reserved.