DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Michael	DOIID	1170452	NAIC NPN	20114906

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/3/2021		11/30/2025
* 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	09/15/2025	11/30/2025

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	8/14/2024	4/24/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/14/2024	4/24/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/14/2024	4/24/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/15/2022	7/2/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/14/2024	4/24/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/28/2023	5/15/2024