DEPARTMENT OF INSURANCE

Affiliations

Name	Otis, Michael Alan	DOIID	792081	NAIC NPN	3102676

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	9/20/2022	10/31/2025
Pending Replacement	Non Resident	Agent	Health	9/20/2022	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	6/6/2017	10/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/6/2017	10/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/6/2017	10/31/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/9/2019	1/7/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/9/2019	1/7/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/7/2017	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/7/2017	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/7/2017	10/20/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/2/2020	1/7/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	6/6/2017	10/31/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/1/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/1/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/1/2017	4/20/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/1/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/1/2017	12/8/2017
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	3/18/2014	6/12/2014
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/18/2014	6/12/2014
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	3/18/2014	6/12/2014
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	3/18/2014	6/12/2014
Pending Replacement	Symetra Life Insurance Company	301691	Agent - Health	9/22/2022
Pending Replacement	Symetra Life Insurance Company	301691	Agent - Life	9/22/2022

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 - Health	6/7/2017	10/19/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/7/2017	10/19/2018