DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stiller, Michelle	DOIID	1011129	NAIC NPN	17287833

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/21/2018	12/31/2019
Inactive	Non Resident	Agent	Health	9/21/2018	12/31/2019
* 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	3/19/2019	12/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/19/2019	12/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/19/2019	12/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/1/2019	12/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/1/2019	12/31/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/6/2018	1/21/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/10/2018	1/21/2020
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2018	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2018	12/19/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	12/31/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/22/2019	11/22/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/22/2019	11/22/2019

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	3/1/2019	12/31/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/1/2019	12/31/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	12/31/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/12/2018	12/31/2019