DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Douze, Mike Hubert	DOIID	1258353	NAIC NPN	19673683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/27/2023		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	3/15/2023	9/16/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/15/2023	9/16/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/15/2023	9/16/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/27/2023	2/17/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/15/2023	9/16/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/27/2023	2/17/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/27/2023	2/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Gohealth LLC	691445	Agent - Health