DEPARTMENT OF INSURANCE

Affiliations

Name	M-Cap Ins Agency LLC	DOIID	670141	NAIC NPN	8461783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/29/2011	12/1/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Butterworth, Scott Alan	712807	Agent - Life	3/29/2011	9/30/2014
Inactive	Gray, Kevin E	655720	Agent - Life	12/12/2007	7/20/2009
Inactive	Ryan, Matthew E	701196	Agent - Life	7/20/2009	7/21/2009