DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Addun, Michelle Ambat	DOIID	1046831	NAIC NPN	17788884

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/9/2019	10/31/2021
Pending Replacement	Non Resident	Agent	Health	5/30/2024		10/31/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/7/2024	9/17/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/7/2024	9/17/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/7/2024	9/17/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/30/2024	5/5/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/30/2024	5/5/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/30/2024	5/2/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/30/2024	5/5/2025
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/3/2024
Inactive	IA American Life Insurance Company	301149	Agent - Life	7/23/2019	10/31/2021
Inactive	Pacific Life Insurance Company	301848	Agent - Health	7/25/2019	10/31/2021
Inactive	Pacific Life Insurance Company	301848	Agent - Life	7/25/2019	10/31/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/7/2024	9/17/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/22/2019	10/31/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/22/2019	10/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/30/2024	5/2/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/30/2024	5/2/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	6/24/2024	10/24/2024
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	7/24/2019	10/31/2021
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	7/24/2019	10/31/2021