DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Faucett, Melissa Leann	DOIID	1038489	NAIC NPN	16112946

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/22/2021	9/30/2022
Inactive	Non Resident	Agent	Health	3/22/2021	9/30/2022
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/9/2021	10/10/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/9/2021	10/10/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/10/2019	9/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/10/2019	9/30/2020

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	12/10/2019	9/30/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/10/2019	9/30/2020