DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Willard, Michelle R	DOIID	1055627	NAIC NPN	999213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/10/2019		6/30/2026
Active	Non Resident	Agent	Life	9/10/2019		6/30/2026
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/17/2019	4/15/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/17/2019	4/15/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hylant Group, Inc.	523019	Agent - Life	10/16/2019	4/7/2025
Inactive	Hylant Group, Inc.	523019	Agent - Health	10/16/2019	4/7/2025