DEPARTMENT OF INSURANCE

Affiliations

Name	Buck, Michael Dean	DOIID	727741	NAIC NPN	7925622

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/4/2010	12/31/2013
Inactive	Non Resident	Agent	Health	5/4/2010	12/31/2013
Active	Non Resident	Independent Adjuster	Property & Casualty	11/19/2014		12/31/2025
* 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
Independent Adjuster	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Continental Insurance Company	643130	Agent - Health	9/4/2012	12/31/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	9/4/2012	12/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/8/2011	12/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/8/2011	12/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/10/2013	2/6/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/4/2012	12/31/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/4/2012	12/31/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/10/2013	2/6/2014
Inactive	Family Life Insurance Company	300356	Agent - Health	8/29/2012	12/28/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/17/2012	12/31/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Health	7/23/2012	6/24/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Life	7/23/2012	6/24/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/10/2013	2/6/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/10/2013	2/6/2014
Inactive	Humana Insurance Company	301104	Agent - Health	6/10/2013	2/6/2014
Inactive	Humana Insurance Company	301104	Agent - Life	6/10/2013	2/6/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/10/2013	2/6/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/10/2013	2/6/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/10/2013	2/6/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/10/2013	2/6/2014
Inactive	Medico Insurance Company	301559	Agent - Health	10/27/2011	2/21/2014
Inactive	Medico Insurance Company	301559	Agent - Life	10/27/2011	2/21/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/26/2012	6/24/2013
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	5/4/2010	1/18/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	5/4/2010	1/18/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	8/14/2012	6/24/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	5/4/2010	3/31/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	5/4/2010	3/31/2013
Inactive	Sterling Life Insurance Company	301947	Agent - Health	2/27/2012	5/22/2013
Inactive	Sterling Life Insurance Company	301947	Agent - Life	2/27/2012	5/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/26/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/26/2012	6/24/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/10/2011	12/31/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/10/2011	12/31/2013
Inactive	Washington National Insurance Company	300587	Agent - Health	9/30/2011	2/21/2014
Inactive	Washington National Insurance Company	300587	Agent - Life	9/30/2011	2/21/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/8/2011	12/31/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/8/2011	12/31/2013
Inactive	Fundamental Insurance and Retirement Planning	675147	Agent - Life	8/3/2012	12/31/2013
Inactive	Fundamental Insurance and Retirement Planning	675147	Agent - Health	8/3/2012	12/31/2013
Inactive	Senior Assist LLC	757273	Agent - Life	8/15/2011	3/31/2013
Inactive	Senior Assist LLC	757273	Agent - Health	8/15/2011	3/31/2013