DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Addun, Michelle Ambat	DOIID	1046831	NAIC NPN	17788884

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/30/2024		10/31/2025
Inactive	Non Resident	Agent	Life	7/9/2019	10/31/2021
* 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	08/15/2025	10/31/2025

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	6/7/2024	9/17/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/7/2024	9/17/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/7/2024	9/17/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/30/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/30/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/30/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/30/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/3/2024
Inactive	IA American Life Insurance Company	301149	Agent - Life	7/23/2019	10/31/2021
Inactive	Pacific Life Insurance Company	301848	Agent - Health	7/25/2019	10/31/2021
Inactive	Pacific Life Insurance Company	301848	Agent - Life	7/25/2019	10/31/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/7/2024	9/17/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/22/2019	10/31/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/22/2019	10/31/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/30/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	6/24/2024	10/24/2024
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	7/24/2019	10/31/2021
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	7/24/2019	10/31/2021