DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hammett, Michael Shane	DOIID	726242	NAIC NPN	9003400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/10/2010	5/31/2012
Inactive	Non Resident	Agent	Life	4/10/2010	5/31/2012
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/7/2010	5/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/7/2010	5/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/7/2010	5/31/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/15/2010	4/9/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/13/2010	4/9/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/27/2010	5/31/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/27/2010	5/31/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/15/2010	4/9/2012
Inactive	Humana Insurance Company	301104	Agent - Health	6/15/2010	4/9/2012
Inactive	Humana Insurance Company	301104	Agent - Life	6/15/2010	4/9/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/15/2010	4/9/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/15/2010	4/9/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/12/2011	9/6/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/12/2011	9/6/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/12/2011	9/6/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Longevity Alliance Inc	658429	Agent - Life	5/14/2010	11/30/2011
Inactive	Longevity Alliance Inc	658429	Agent - Health	5/14/2010	11/30/2011