DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fry, Michael Renell	DOIID	1009591	NAIC NPN	8027723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/12/2018	5/31/2022
Inactive	Non Resident	Agent	Health	9/12/2018	5/31/2022
* 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	9/25/2018	5/31/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/6/2018	5/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/23/2020	5/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/25/2018	5/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/25/2018	5/31/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	10/6/2018	8/11/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/31/2020	8/9/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/26/2020	5/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/26/2020	5/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/26/2020	5/31/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/6/2018	5/31/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/25/2018	5/31/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/21/2020	5/31/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/11/2021	5/31/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/28/2021	7/29/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	5/31/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/28/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	12/30/2021

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	10/11/2018	6/18/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/11/2018	6/18/2019