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.

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