DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mcculloch, Michelle	DOIID	1008671	NAIC NPN	18857588

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/7/2018	11/30/2020
Inactive	Non Resident	Agent	Life	9/7/2018	11/30/2020
* 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	10/4/2018	11/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/4/2018	11/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/4/2018	11/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/20/2018	11/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/20/2018	11/30/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/4/2018	11/30/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	11/30/2020

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	10/22/2018	11/30/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/22/2018	11/30/2020