DEPARTMENT OF INSURANCE

Affiliations

Name	Kitchen, Michael James	DOIID	1092347	NAIC NPN	18152571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/5/2020	2/28/2027
Active	Non Resident	Agent	Life	8/8/2022	2/28/2027
* 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	12/15/2024	02/28/2025	02/25/2025	02/25/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	8/11/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	8/11/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/11/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/10/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/10/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/10/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/28/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/20/2021	5/24/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/4/2021	12/23/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/11/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/11/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/7/2023	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	1/26/2023	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/15/2023	12/12/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/10/2020
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	10/9/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/27/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/27/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/27/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/22/2024	3/18/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/22/2024	3/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ensurem II LLC	908041	Agent - Health	5/24/2022