DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hicks, Michael Granger	DOIID	1209327	NAIC NPN	5667141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/7/2022		4/30/2025
Active	Non Resident	Agent	Life	6/7/2022		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/4/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/4/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	1/4/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	1/4/2023
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	7/8/2022
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	7/8/2022
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	7/8/2022
Active	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	7/8/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Health	7/8/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Life	7/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Patriot Growth Insurance Services LLC	1002152	Agent - Life	7/8/2022	5/23/2024
Inactive	Patriot Growth Insurance Services LLC	1002152	Agent - Health	7/8/2022	5/23/2024