DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Revenaugh, Michael Thomas	DOIID	1016630	NAIC NPN	18939299

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/25/2018	5/31/2023
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	5/31/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/2/2020	11/14/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020	11/14/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/2/2020	11/14/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/24/2019	11/20/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	11/20/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	11/20/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/2/2019	3/15/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	11/20/2021
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	5/31/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/5/2020	3/15/2022
Inactive	Humana Insurance Company	301104	Agent - Health	4/21/2021	3/15/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/14/2021	3/15/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/15/2019	2/17/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/2/2020	11/14/2021
Inactive	United American Insurance Company	300910	Agent - Health	2/11/2019	12/19/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2019	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2019	9/20/2022

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	8/30/2019	5/31/2023