DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pelton-Bennett, Michele Andrea	DOIID	1235378	NAIC NPN	2547772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/7/2022		8/31/2026
Active	Non Resident	Agent	Life	10/7/2022		8/31/2026
* 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	Accendo Insurance Company	300312	Agent - Health	2/3/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	2/3/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/13/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	2/3/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/13/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/13/2022
Active	American General Life Insurance Company	301585	Agent - Health	2/5/2025
Active	American General Life Insurance Company	301585	Agent - Life	2/5/2025
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/10/2023	12/11/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/3/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/3/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/12/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/5/2022	4/16/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/13/2022
Active	The American Home Life Insurance Company	563717	Agent - Life	4/8/2025
Active	Tier One Insurance Company	301056	Agent - Life	7/25/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/23/2022	5/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/23/2022	5/22/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2024

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 - Life	3/22/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024