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	Life	1/4/2019	7/31/2025
Active	Non Resident	Agent	Health	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.

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
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/17/2023
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
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/5/2021
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
Active	Designated Agent Company Inc.	681257	Agent - Health	10/18/2019
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