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.

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