DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harrison, Micheal David	DOIID	1106665	NAIC NPN	11069787

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/21/2020		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	04/15/2024	06/30/2024	06/12/2024	06/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/19/2021	5/6/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	5/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	5/6/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	5/6/2024
Inactive	Justify Holdings, Inc.	1041634	Agent - Health	10/27/2020	3/31/2021
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/2/2021	5/25/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Health Family Insurance Services LLC	1185476	Agent - Health