DEPARTMENT OF INSURANCE

Affiliations

Name	Diblasi, Michael	DOIID	1024134	NAIC NPN	18073171

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/4/2019	7/31/2025
Active	Non Resident	Agent	Life	1/4/2019	7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/24/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	3/24/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/24/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/17/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/17/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/17/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	2/28/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	2/28/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/3/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	10/29/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/16/2019	11/26/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/16/2019	11/26/2019
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/17/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/24/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/24/2023
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	6/5/2019	11/27/2019
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	6/5/2019	11/27/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/19/2019	1/1/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/19/2019	1/1/2020
Inactive	Heartland National Life Insurance Company	948749	Agent - Health	8/5/2020	11/29/2022
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/5/2021	1/22/2025
Active	National Health Insurance Company	300554	Agent - Health	3/13/2020
Active	National Health Insurance Company	300554	Agent - Life	3/13/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/6/2019	10/21/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/3/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/3/2023
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/17/2021

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	10/18/2019	1/1/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/18/2019	2/10/2025
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	12/17/2019	4/21/2022
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	1/28/2019	12/18/2019
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	1/28/2019	12/18/2019